Bozeman Denture Center, PLLC

Primary specialty

DenturistTaxonomy code 122400000X

Legal business name

BOZEMAN DENTURE CENTER, PLLC

Practice address

2149 Durston Rd Ste 32
Bozeman, MT 59718-2805

Phone

(406) 586-6569

NPI assigned

Jun 28, 2023

Last updated

Jun 28, 2023By 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. John Wayne Bennion, DDS, MDNPI 1265530133

Title

Manager

Phone

(406) 671-0496

Specialties & licenses 1

Addresses

Practitioners 3

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.

• John Wayne Bennion, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Billings, MT
  • NPI 1265530133
  NPD Authorized official
• John V Mateskon, L.D.

  • Denturist
  • Bozeman, MT
  • NPI 1134323066
  NPD (past)
• Randy Allen McHenry, LD

  • Denturist
  • Belgrade, MT
  • NPI 1588326235
  NPD (past)

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1275210627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 EASTLAKE CIR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053536",
            "telephone_number": "406-671-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 DURSTON RD STE 32",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182805",
            "telephone_number": "406-586-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN DENTURE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-671-0496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bozeman Dialysis Center
• Bozeman Foot and Ankle Clinic P.C.
• Bozeman Gastroenterology, PC (The GI Clinic)
• Bozeman Health Big Sky Medical Center, LLC (Bozeman Health Cottonwood Clinic Big Sky Medical Center)

• Denturist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Denturist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.