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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2195 | MT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacier Dental Group, PC | General Practice | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011-3696 | Medicaid | MT | |
| 55-12964 | Medicaid | MT |
Other providers in Kalispell, MT
- Amber Christine Keefer
- Kent Keele
- Megan Lavin Keenan
- Kevin Lee Keeton
- Keh Inc
- Erin Keithly
- Catharine Nicole Keller
- Joe Keller
- Susan Clark Keller
- Kelly Brewer Counseling, PLLC
All providers in Kalispell, MT · General Practice Dentistry in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.