NPIMap

Organization Active NPI

Montana Family Dentistry

  • Dentist
  • Lewistown, MT
National Provider Identifier
1710133418
Registry record updated May 26, 2010
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2286 Issued in MT
Legal business name
MONTANA FAMILY DENTISTRY
Practice address
611 NE Main St Ste 2
Lewistown, MT 59457-2020
Phone
(406) 538-2347
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Dr. David Graham Welton, DDS
Title
Owner
Phone
(406) 538-2347

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2286 MT Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2327 MT

Addresses

Primary practice location

611 NE Main St Ste 2
Lewistown, MT 59457-2020

Mailing address

611 NE Main St Ste 2
Lewistown, MT 59457-2020
Phone (406) 538-2347

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1710133418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NE MAIN ST STE 2",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572020",
            "telephone_number": "406-538-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NE MAIN ST STE 2",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572020",
            "telephone_number": "406-538-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "WELTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-538-2347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MT",
            "license": "2286",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MT",
            "license": "2327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.