David C Keim, DDS

Individual provider Active NPI General Practice Dentistry · Kalispell, MT

NPI 1083785752 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1083785752
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2195 (MT)
Practice address
795 Sunset Blvd
Kalispell, MT 59901-3699
Phone
(406) 752-8081
Fax
(406) 752-8083
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2195MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Dental Group, PC General Practice Current
since Feb 23, 2025
Accepting new patients
4Eagle Dental Group PLLP Current Accepting new patients

Locations

795 Sunset Blvd
Kalispell, MT 59901
Phone (406) 752-8081

1228 Whitefish Stage
Kalispell, MT 59901
Phone (406) 752-8081

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2195 MT Yes

Addresses

Primary practice location

795 Sunset Blvd
Kalispell, MT 59901-3699

Mailing address

795 Sunset Blvd
Kalispell, MT 59901-3699
Phone (406) 752-8081

Other identifiers

IdentifierTypeStateIssuer
011-3696MedicaidMT
55-12964MedicaidMT

Other providers in Kalispell, MT

All providers in Kalispell, MT · General Practice Dentistry in Montana

Sources for this page

Verify at the official NPI Registry.