John Matthew Rausch, DDS
Individual provider Active NPI General Practice Dentistry · Bigfork, MT
NPI 1801463989 · NPPES record last updated Jun 8, 2021
Key facts
- NPI
- 1801463989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN-DEN-LIC-21425 (MT)
- Practice address
- 33 Doc Kimball Way
Bigfork, MT 59911-6491 - Phone
- (406) 614-2020
- NPI assigned
- Jun 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-DEN-LIC-21425 | MT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewel Basin Dentistry | Current |
Accepting new patients |
Locations
33 Doc Kimball Way
Bigfork, MT 59911
Phone (406) 261-6430
1608 Main St
Thompson Falls, MT 59873
Phone (406) 827-4681
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN-DEN-LIC-21425 | MT | Yes |
Addresses
Primary practice location
33 Doc Kimball Way
Bigfork, MT 59911-6491
Mailing address
33 Doc Kimball Way
Bigfork, MT 59911-6491
Phone (406) 614-2020
Other providers in Bigfork, MT
- Northern Lights Mental Health & Wellness
- Charlotte Dionne Ohara
- Benjamin Porter
- Angie Potts
- Erin Carlson Price
- Julieanna Genoun Renner
- River Bend Physical Therapy and Preventative Care, LLC
- Devin Robins
- Adam Rondepierre
- Kurt Erik Ruffley
All providers in Bigfork, MT · General Practice Dentistry in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2021. 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.