WS Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2349 Issued in MT

Legal business name

WS DENTAL PC

Practice address

1805 W Dickerson St
BLD 2, Ste 2
Bozeman, MT 59715-4108

Phone

(406) 404-1186

Fax

(406) 404-1187

NPI assigned

Feb 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Samson, DDSNPI 1093976383

Title

Owner

Phone

(406) 404-1186

Specialties & licenses 1

Addresses

Other names 1

• Summit Dental Doing business as

Locations

Practitioners 2

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

• William Robert Samson, DDS

  • General Practice Dentistry
  • Bozeman, MT
  • NPI 1093976383
  NPD (past) Authorized official
• Sheryleen Derede Pulfer, D.D.S

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1912282757
  NPD (past)

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1295126993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W DICKERSON ST",
            "address_2": "BLD 2, STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154108",
            "telephone_number": "406-404-1186",
            "fax_number": "406-404-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W DICKERSON ST",
            "address_2": "BLD 2, STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154108",
            "telephone_number": "406-404-1186",
            "fax_number": "406-404-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-404-1186",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hugh Emmett Wright III, M.D.
• Joanna Wright
• Matthew William Wright, M.D.
• Samantha Jo Wright, PA
• Thomas Wright, DPM
• Stephen Wurz, DNP
• Melissa L. Wustner, LMT, CNA
• Brittany Wynn
• Anne Christine Wysoski, MS, LCPC, LAC, SEP
• Rebecca J Wysoski, LAC, PCLC

• General Practice Dentistry in Bozeman, MT
• Providers in Bozeman, 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 Feb 17, 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.