Big Sky Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BIG SKY DENTAL CLINIC

Practice address

102 1St Ave E
Polson, MT 59860-2335

Phone

(406) 883-5544

Fax

(406) 883-5420

NPI assigned

Oct 7, 2014

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Christopher Clave, D.D.S.

Title

Owner

Phone

(406) 883-5544

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason T Heintz, D.D.S.

  • Dentist
  • Polson, MT
  • NPI 1073745386
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1144623992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 1ST AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602335",
            "telephone_number": "406-883-5544",
            "fax_number": "406-883-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 1ST AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602335",
            "telephone_number": "406-883-5544",
            "fax_number": "406-883-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SKY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "CLAVE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-883-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shasta Baum-Strait, LCPC
• William Woolverton Beck, Jr., M.D.
• Amanda Lorene Bender, OTC
• Carrie Lynn Benson
• Eugene Beville
• Big Sky Pediatric Polson PLLC
• Triva Bilile, RPH
• Isaac Billings, D.O.
• Bird Family Dentistry
• Jeffrey Scott Bird, D.M.D.

• General Practice Dentistry in Polson, MT
• Providers in Polson, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.