Rusty Ede DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RUSTY EDE DDS LLC

Practice address

402 Montana Ave
Libby, MT 59923-2040

Phone

(406) 293-2933

NPI assigned

Sep 11, 2026

Organization subpart

No

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

Authorized official

Name

Lynette Jewell

Title

Office Manager

Phone

(406) 293-2933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1487564241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MONTANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232040",
            "telephone_number": "406-293-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MONTANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232040",
            "telephone_number": "406-293-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTY EDE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-293-2933"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.