Kolten Joseph Astle, DMD

Individual provider Active NPI General Practice Dentistry · Billings, MT

NPI 1366026189 · NPPES record last updated Jun 20, 2023

Key facts

NPI
1366026189
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DEN-DEN-LIC-25821 (MT)
Practice address
3737 Grand Ave
Billings, MT 59102-6258
Phone
(406) 248-2669
NPI assigned
May 7, 2021
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7463OKMDMental Health Counselor
DEN-DEN-LIC-25821MTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wlsi Legacy Smiles Dentist Current
since Jun 25, 2023
Accepting new patients

Locations

3737 Grand Ave
Ste 8
Billings, MT 59102
Phone (406) 248-2669

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7463 OK
Dentist 122300000X DEN-DEN-LIC-25821 MT
General Practice Dentistry 1223G0001X DEN-DEN-LIC-25821 MT Yes

Addresses

Primary practice location

3737 Grand Ave
Billings, MT 59102-6258

Mailing address

3737 Grand Ave Ste 8
Billings, MT 59102-6258
Phone (406) 248-2669

Other providers in Billings, MT

All providers in Billings, MT · General Practice Dentistry in Montana

Sources for this page

Verify at the official NPI Registry.