Montana Center for Laser Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

D2274 Issued in MT

Legal business name

MONTANA CENTER FOR LASER DENTISTRY PLLC

Practice address

6516 US Highway 93 S
Whitefish, MT 59937-2916

Phone

(406) 862-1010

NPI assigned

May 23, 2016

Last updated

May 23, 2016By 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

Carrie Clay

Title

Cfo

Phone

(406) 862-1010

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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.

• Mark Colonna, DDS

  • General Practice Dentistry
  • Whitefish, MT
  • NPI 1316157894
  NPD (past)
• David Miller Dodrill, DDS

  • Dentist
  • Whitefish, MT
  • NPI 1124224498
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1225485998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 US HIGHWAY 93 S",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372916",
            "telephone_number": "406-862-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 US HIGHWAY 93 S",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372916",
            "telephone_number": "406-862-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA CENTER FOR LASER DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "406-862-1010"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "D2274",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "D1682",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "D1887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald A Miller, MD
• Mindbright LLC
• Mindful Space
• Mirna D Bowden MD PC
• Stephan Donald Miser, DMD
• Jane Mosher
• John Muir, MD
• Jennifer R Mulkey, LMT
• Daniel E Munzing, MD
• Erin Murray, LCPC

• Dentist in Whitefish, MT
• Providers in Whitefish, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.