Elkhorn Family Dental, LLC
Organization Active NPI Dental Clinic/Center · Boulder, MT
NPI 1740546100 · NPPES record last updated Apr 10, 2012
Key facts
- NPI
- 1740546100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 2386 (MT)
- Legal business name
- ELKHORN FAMILY DENTAL, LLC
- Practice address
- 211 North Main Street
Boulder, MT 59632-0512 - Phone
- (406) 225-4222
- Fax
- (406) 225-4222
- NPI assigned
- Apr 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Charissa Foster Martin, DMD
- Title
- Owner
- Phone
- (406) 225-4222
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 2386 | MT | Yes |
Addresses
Primary practice location
211 North Main Street
Boulder, MT 59632-0512
Mailing address
PO Box 512
211 North Main Street
Boulder, MT 59632-0512
Phone (406) 225-4222
Other providers in Boulder, MT
- Amanda J Campbell
- Veronica J Champer
- City of Boulder
- County of Jefferson
- Ivy Donath
- Elkhorn Mountain Health Services Inc
- Elkhorn Pharmacy Inc
- Elkhorn Telehealth Psychiatric Services, LLC
- Kristin Nicole Fearon
- Abbi A Fetters
All providers in Boulder, MT · Dental Clinic/Center in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.