Silvercreek Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7806 Issued in MT

Legal business name

SILVERCREEK FAMILY DENTISTRY PLLC

Doing business as

Silvercreek Family Dentistry

Practice address

245 E Park St
Butte, MT 59701-1829

Phone

(406) 494-7058

NPI assigned

Nov 19, 2015

Last updated

Nov 19, 2015By 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. Tyson John Gundersen, DMDNPI 1821403130

Title

Managing Member

Phone

(406) 494-7058

Specialties & licenses 1

Addresses

Other names 1

• Silvercreek Family Dentistry Doing business as

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.

• Tyson John Gundersen, DMD

  • Dentist
  • Butte, MT
  • NPI 1821403130
  NPD (past) Authorized official

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1285008847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E PARK ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011829",
            "telephone_number": "406-494-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E PARK ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011829",
            "telephone_number": "406-494-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERCREEK FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "GUNDERSEN",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "406-494-7058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "7806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silvercreek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jessica Ann Simmons, CRNA
• Cindy J Simpkins, ARNP
• Wendy R Simpson, LCSW, LAC
• Paul G. Sims, D.D.S.
• Sisters of Charity of Leavenworth Health System Inc (Intermountain Pharmacy #11)

• General Practice Dentistry in Butte, MT
• Providers in Butte, 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 Nov 19, 2015; 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.