Active NPI
Pamela M Lilly, DDS
- General Practice Dentistry
- Whitefish, MT
National Provider Identifier
1376813543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1900
- Practice address
- 905 Wisconsin Ave Ste C
Whitefish, MT 59937-2172 - Phone
- (406) 862-8180
- Fax
- (406) 862-8186
- NPI assigned
- Jan 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1900 | MT | Primary |
Addresses
Primary practice location
905 Wisconsin Ave Ste C
Whitefish, MT 59937-2172
Mailing address
905 Wisconsin Ave Ste C
Whitefish, MT 59937-2172
Phone (406) 862-8180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1900 | MT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pamela M Lilly DDS PC | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Whitefish, MT
- NPI 1396828711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1376813543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 WISCONSIN AVE STE C",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599372172",
"telephone_number": "406-862-8180",
"fax_number": "406-862-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 WISCONSIN AVE STE C",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599372172",
"telephone_number": "406-862-8180",
"fax_number": "406-862-8186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "PAMELA",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "1900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitefish, MT
- Jason Leep, MD
- Jennifer Lewis, PMHNP-BC
- Kathleen M Lewison, MD
- Jonathan Light
- Meagan Joanne Lilly Frank, D.D.S.
- Russell Lindahl, DPT
- Bernadette Lintner, DPT
- Lisa Pohlman (Whitefish Art Therapy Studio)
- Schelene Marie Lithgow, LCSW
- Logan Health - Whitefish (Logan Health School-Based Health Center Columbia Falls)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.