Sprout Oral Health

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPROUT ORAL HEALTH

Practice address

108 Village Downtown Blvd
Bozeman, MT 59715-3815

Phone

(406) 868-1549

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Jane Gillette

Title

President

Phone

(406) 868-1549

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Edith Gillette, DDS

  • Dentist
  • Bozeman, MT
  • NPI 1063594273
  NPD (past)

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1700214350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597711028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 VILLAGE DOWNTOWN BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153815",
            "telephone_number": "406-868-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT ORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-868-1549"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115108",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christoffer Aaron Spoja, D.O.
• Sarah Sporleder, LCPC, LMFT
• Phronsie Sprenger, LCSW
• Crystal Spring, RDH
• Marchelle Springer
• Joshua Lupine Spuhler, PA-C
• Jeffrey C Squire, OD
• Sarah Jayne St Clair, RDN
• Victoria N. St. Don, D.P.T.
• St. Vincent Healthcare

• 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 Mar 27, 2014; 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.