Western Montana Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

1951 Issued in MT

Legal business name

WESTERN MONTANA FAMILY DENTISTRY

Practice address

63355 US Highway 93
Ronan, MT 59864-2702

Phone

(406) 676-8880

Fax

(406) 676-8881

NPI assigned

Sep 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Howard Bagnell, DDS

Title

Owner/Dentist

Phone

(406) 676-8880

Specialties & licenses 1

Addresses

Other names 1

• Bagnell Family Dentistry Former legal business name

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1821379009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63355 US HIGHWAY 93",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642702",
            "telephone_number": "406-676-8880",
            "fax_number": "406-676-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63355 US HIGHWAY 93",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642702",
            "telephone_number": "406-676-8880",
            "fax_number": "406-676-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MONTANA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "BAGNELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "406-676-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MT",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bagnell Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Megan A Vigil, M.D.
• Edred T Vizcarra, MD
• Marvin Walter Walchuk, C-PED
• Leslie Ann Wallace, OT
• Zachary Weijohn, DPT
• Chris Westphal, RNFA
• Wholistic Healing
• Ellen Lucille Wicklund, DC
• Debra Ann Winslette, RN
• Anthony T Young, CRNA

• Dentist in Ronan, MT
• Providers in Ronan, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.