Schmieding Dental Group
Organization Active NPI Dentist · Ennis, MT
NPI 1447428008 · NPPES record last updated Sep 19, 2023
Key facts
- NPI
- 1447428008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- SCHMIEDING DENTAL GROUP
- Practice address
- 5 Sunrise Loop # C
Ennis, MT 59729 - Phone
- (406) 682-3310
- Fax
- (406) 682-3386
- NPI assigned
- Feb 18, 2008
- Organization subpart
- No
Authorized official
- Name
- Peter John Schmieding, DMD
- Title
- Owner Dentist
- Phone
- (406) 682-3310
Practitioners 2
-
Peter John Schmieding, D.M.D.
-
Tysa Marie Judd, DMD
National Provider Directory
Locations
5 Sunrise Loop
Ste C
Ennis, MT 59729
Phone (406) 682-3310
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
5 Sunrise Loop # C
Ennis, MT 59729
Mailing address
5 Sunrise Loop # C
Ennis, MT 59729
Phone (406) 682-3310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112863 | Medicaid | MT | |
| 1447428008 | Medicaid | MT | |
| 5511247 | Other | MT | BLUE CHIP PROGRAM |
Other providers in Ennis, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2023. 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.