Mihailovich Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MIHAILOVICH FAMILY DENTISTRY LLC

Practice address

2423 Cornell Ave
Butte, MT 59701-3848

Phone

(406) 494-7033

Fax

(406) 494-8256

NPI assigned

Aug 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Corey A Mihailovich, DMDNPI 1700229226

Title

Owner/Dentist

Phone

(406) 494-7033

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

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

• Corey Andrew Mihailovich, D.M.D.

  • General Practice Dentistry
  • Butte, MT
  • NPI 1700229226
  NPD (past) Authorized official
• James P. Herzog, DDS

  • General Practice Dentistry
  • Butte, MT
  • NPI 1649378662
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1447805304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 CORNELL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013848",
            "telephone_number": "406-494-7033",
            "fax_number": "406-494-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 CORNELL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013848",
            "telephone_number": "406-494-7033",
            "fax_number": "406-494-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIHAILOVICH FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "MIHAILOVICH",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "406-494-7033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA DENTAL LICENSE NUMBER",
            "identifier": "5965",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@mihailovichdmd.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2423 Cornell Ave",
            "city": "Butte",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597013848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mercury Street Medical Group PLLC
• Cassie Merten
• Michael Hamblock
• Michael Judd & Dave Boyd Counseling Services, LLC
• Michael M. Monson, O.D., P.C.
• Corey Andrew Mihailovich, D.M.D.
• Danielle Rheann Miller, PTA
• Michelle J Miller, LCSW
• Mindful Development
• Mindful Path PLLC

• Dental Clinic/Center in Butte, MT
• Providers in Butte, MT by specialty
• Dental Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.