Montana Childrens Dentistry PLLC – Dentist

Key facts

NPI: 1326706201
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
Legal business name: MONTANA CHILDRENS DENTISTRY PLLC
Practice address: 116 Glacier Dr Ste 107
Lolo, MT 59847-9343
Phone: (702) 339-7274
NPI assigned: Dec 7, 2021
Organization subpart: No

Authorized official

Name: Steven Delisle, DDS NPI 1639329337
Title: Owner
Phone: (702) 339-7274

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Steven Eliot Delisle, DDS Dentist · Lolo, MT · NPI 1639329337

NPD Authorized official DENTIST

National Provider Directory

Locations

116 Glacier Dr
Ste 107
Lolo, MT 59847
Phone (406) 284-8669

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193400000X SINGLE SPECIALTY GROUP	122300000X			Yes

Addresses

Primary practice location

116 Glacier Dr Ste 107
Lolo, MT 59847-9343

Mailing address

116 Glacier Dr Ste 107
Lolo, MT 59847-9343

Other providers in Lolo, MT

Dan McFarland
Kevin John Louis McHugh, PT, DPT
Sadie McKay, PCLC
McKayla McNamara
Heather Miller, LCPC
Montana Migrant and Seasonal Farmworkers Council, Inc.
Greg Murray, PA-C
Kira Pecarina, PTA
Ross William Roadarmel, PHARM D
Robert Dean Wilcox

All providers in Lolo, MT · Dentist in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.