Organization Active NPI

K. Guymon Dental, LLC

  • Dental Clinic/Center
  • Great Falls, MT
National Provider Identifier
1699333864
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
K. GUYMON DENTAL, LLC
Practice address
1301 12TH Ave S Ste 100
Great Falls, MT 59405-4600
Phone
(801) 698-7632
NPI assigned
Jun 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Authorized official

Name
Kevin Guymon, D.D.S.NPI 1114272226
Title
Manager
Phone
(801) 698-7632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1301 12TH Ave S Ste 100
Great Falls, MT 59405-4600

Mailing address

1014 3Rd Ave N
Great Falls, MT 59401-1508
Phone (801) 698-7632

National Provider Directory

National Provider Directory

Locations

1301 12th Ave S
Ste 10
Great Falls, MT 59405

1301 12th Ave S
Ste 100
Great Falls, MT 59405
Phone (801) 698-7632

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1699333864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 3RD AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594011508",
            "telephone_number": "801-698-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 12TH AVE S STE 100",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054600",
            "telephone_number": "801-698-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. GUYMON DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "GUYMON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-698-7632",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.