Corey Andrew Mihailovich, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5965 Issued in MT

Practice address

2423 Cornell Ave
Butte, MT 59701-3848

Phone

(406) 494-7033

Fax

(406) 494-8256

NPI assigned

Apr 15, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mihailovich Family Dentistry LLC

  • Dental Clinic/Center
  • Butte, MT
  • NPI 1447805304
  NPD (past) Authorized official

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1700229226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 CORNELL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013848",
            "telephone_number": "406-494-7033",
            "fax_number": "406-494-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 CORNELL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013848",
            "telephone_number": "406-494-7033",
            "fax_number": "406-494-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHAILOVICH",
        "first_name": "COREY",
        "middle_name": "ANDREW",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1507",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "5965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Merten
• Michael Hamblock
• Michael Judd & Dave Boyd Counseling Services, LLC
• Michael M. Monson, O.D., P.C.
• Mihailovich Family Dentistry LLC
• Danielle Rheann Miller, PTA
• Michelle J Miller, LCSW
• Mindful Development
• Mindful Path PLLC
• Mining City Compounding Pharmacy

• General Practice Dentistry in Butte, MT
• Providers in Butte, 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 Jul 12, 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.