Jesse McClung DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JESSE MCCLUNG DDS PLLC

Doing business as

Big Sky Dental Center

Practice address

108 N 11TH Ave Ste #2
Bozeman, MT 59715

Phone

(406) 586-5949

NPI assigned

Sep 23, 2016

Last updated

Sep 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheila C Feenstra

Title

Office Manager

Phone

(406) 586-5949

Specialties & licenses 1

Addresses

Other names 1

• Big Sky Dental Center Doing business as

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1487103172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N 11TH AVE STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153264",
            "telephone_number": "406-586-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 11TH AVE STE #2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-586-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE MCCLUNG DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "FEENSTRA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-586-5949"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Sky Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Bozeman, MT
• Providers in Bozeman, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.