Boulder Valley Dental LLC
Organization Active NPI General Practice Dentistry · Boulder, MT
NPI 1548864358 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1548864358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BOULDER VALLEY DENTAL LLC
- Practice address
- 211 N Main St
Boulder, MT 59632-7761 - Phone
- (406) 225-4222
- NPI assigned
- Nov 23, 2020
- Organization subpart
- No
Authorized official
- Name
- Lisa Huempfner, DMD
- Title
- Owner/Dentist
- Phone
- (262) 497-5559
Practitioners 1
-
Lisa Jane Huempfner, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
211 N Main St
Boulder, MT 59632-7761
Mailing address
PO Box 512
Boulder, MT 59632-0512
Other providers in Boulder, MT
- Alliance Outreach Services
- Vermon Craig Barney
- Boulder School District
- Amanda J Campbell
- Veronica J Champer
- City of Boulder
- County of Jefferson
- Ivy Donath
All providers in Boulder, MT · General Practice Dentistry in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2020. 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.