Big Sky Dental Clinic

Organization Active NPI General Practice Dentistry · Polson, MT

NPI 1144623992 · NPPES record last updated Oct 7, 2014

Key facts

NPI
1144623992
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 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
Organization subpart
No

Authorized official

Name
Dr. William Christopher Clave, D.D.S.
Title
Owner
Phone
(406) 883-5544

Practitioners 1

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

National Provider Directory

Locations

102 1st Ave E
Polson, MT 59860
Phone (406) 883-5544

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

102 1St Ave E
Polson, MT 59860-2335

Mailing address

102 1St Ave E
Polson, MT 59860-2335
Phone (406) 883-5544

Other providers in Polson, MT

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

Sources for this page

Verify at the official NPI Registry.