Kalispell Denture Studio, LLC

Primary specialty

DenturistTaxonomy code 122400000X

Legal business name

KALISPELL DENTURE STUDIO, LLC

Practice address

725 6TH Ave E Ste 5
Kalispell, MT 59901-5005

Phone

(406) 314-4892

Fax

(406) 314-4893

NPI assigned

Mar 31, 2015

Last updated

Jul 9, 2024By 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

Kelly JensenNPI 1750123675

Title

Denturist/Owner

Phone

(406) 314-4892

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly J Jensen, LD

  • Denturist
  • Kalispell, MT
  • NPI 1750123675
  NPD Authorized official

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1568857100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 6TH AVE E STE 5",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015005",
            "telephone_number": "406-314-4892",
            "fax_number": "406-314-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 6TH AVE E STE 5",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015005",
            "telephone_number": "406-314-4892",
            "fax_number": "406-314-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL DENTURE STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DENTURIST/OWNER",
        "authorized_official_telephone_number": "406-314-4892"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kalispell Kidds
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• Denturist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Denturist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.