Bigfork Dental Center, P.C.

Organization Active NPI Dental Clinic/Center · Bigfork, MT

NPI 1003008251 · NPPES record last updated Aug 13, 2007

Key facts

NPI
1003008251
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
1636 (MT)
Legal business name
BIGFORK DENTAL CENTER, P.C.
Practice address
8289 Mt Highway 35
Bigfork, MT 59911-3518
Phone
(406) 837-5611
NPI assigned
Aug 13, 2007
Organization subpart
No

Authorized official

Name
Dr. Gary McCrummen, D.D.S.
Title
President
Phone
(406) 837-5611

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1636 MT Yes

Addresses

Primary practice location

8289 Mt Highway 35
Bigfork, MT 59911-3518

Mailing address

8289 Mt Highway 35
Bigfork, MT 59911-3518

Other identifiers

IdentifierTypeStateIssuer
5512692OtherMTMT CHIPS PROGRAM

Other providers in Bigfork, MT

All providers in Bigfork, MT · Dental Clinic/Center in Montana

Sources for this page

Verify at the official NPI Registry.