| Blacktail Dental | |
|
125 E Glendale St Dillon MT 59725-2505 | |
| (406) 683-4440 | |
| (406) 683-1121 |
| Full Name | Blacktail Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 E Glendale St, Dillon, Montana |
| Authorized Official Name and Position | Breanna Beth Matich (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4064966000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blacktail Dental 445 Centennial Ave Butte MT 59701-2870 Ph: (406) 723-4075 | Blacktail Dental 125 E Glendale St Dillon MT 59725-2505 Ph: (406) 683-4440 |
| NPI Number | 1235238718 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 3870402845 |
|---|---|
| Medicare Enrollment ID | O20030410000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235238718 | NPI | - | NPPES |
| 95601016 | Other | MT | MT BREAST & CERVICAL PROG |
| 63392 | Other | MT | BCBS |
| CK5130 | Other | MT | RAILROAD MEDICARE |
| 0730028 | Medicaid | MT |
Beaverhead Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 S Atlantic St, Dillon, MT 59725 Phone: 406-683-4400 Fax: 406-683-4408 | |
Barrett Hospital Development Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 Mt Highway 91 S, Dillon, MT 59725 Phone: 406-683-3000 Fax: 406-683-3011 | |
Sweet Medicine Therapy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 S Atlantic St, Suite 104, Dillon, MT 59725 Phone: 406-683-4453 Fax: 406-683-4453 | |
Patricia A Grantham M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Mt Highway 91 S Ste 205, Dillon, MT 59725 Phone: 406-683-4252 | |
C Curtis Blake M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Mt Highway 91 S Ste 206, Dillon, MT 59725 Phone: 406-683-4252 | |
Burke E Hansen M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Mt Highway 91 S Ste 204, Dillon, MT 59725 Phone: 406-683-4252 |