River Town Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RIVER TOWN DENTAL CORPORATION

Practice address

1608 Main Street
Thompson Falls, MT 59873-5987

Phone

(406) 827-4681

Fax

(406) 827-4781

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2021By 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

Timothy Bagnell

Title

Dentist

Phone

(406) 626-2550

Specialties & licenses 1

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.

• Roland Elwyn Goertzen, DDS

  • General Practice Dentistry
  • Thompson Falls, MT
  • NPI 1740298736
  NPD (past)
• Tyler Kurle, DDS

  • Dentist
  • Coeur d'Alene, ID
  • NPI 1710679717
  NPD (past)

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1235722737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598730039",
            "telephone_number": "406-827-4681",
            "fax_number": "406-827-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 MAIN STREET",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598735987",
            "telephone_number": "406-827-4681",
            "fax_number": "406-827-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER TOWN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "BAGNELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "406-626-2550"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy J. Lovell, DO, PC (Main Street Medical)
• Reflections Academy, Inc.
• Peter Reinschmidt, LAC
• Raoul Anthony Ribeiro, LCSW
• Haiden Bree Richmond, PHARMD
• Robert W. Kelley Odpc
• Saints Nursing Service, Inc
• Sanders County Health Department
• Sanders County Public Health
• Simone Schilthuis

• Dentist in Thompson Falls, MT
• Providers in Thompson Falls, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.