Organization Active NPI

Big Sky Pediatric Polson PLLC

  • Pediatric Dentistry
  • Polson, MT
National Provider Identifier
1407698962
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BIG SKY PEDIATRIC POLSON PLLC
Practice address
51045 US 93
Polson, MT 59860
Phone
(406) 752-8302
Fax
(406) 756-1953
NPI assigned
Jun 6, 2024
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Dr. Gabriel M Dawson, DDS, MSNPI 1972921450
Title
Manager
Phone
(425) 420-5943

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

51045 US 93
Polson, MT 59860

Mailing address

51045 US Highway 93
Polson, MT 59860-7194
Phone (406) 872-2111

Other practice location 1

51045 US Highway 93
Polson, MT 59860-7194
Phone (406) 872-2111

National Provider Directory

National Provider Directory

Locations

51045 US Highway 93
Polson, MT 59860
Phone (406) 872-2111

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1407698962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51045 US HIGHWAY 93",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598607194",
            "telephone_number": "406-872-2111",
            "fax_number": "406-872-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51045 US 93",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "59860",
            "telephone_number": "406-752-8302",
            "fax_number": "406-756-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51045 US Highway 93",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598607194",
            "country_code": "US",
            "telephone_number": "406-872-2111",
            "fax_number": "406-872-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIG SKY PEDIATRIC POLSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-420-5943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.