Daniel Adam Pence, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2409 Issued in MT

Practice address

2605 16TH Ave S
Great Falls, MT 59405-5202

Phone

(406) 727-9889

NPI assigned

May 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1243123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1942435623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 46TH AVE NE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59404",
            "telephone_number": "406-952-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 16TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055202",
            "telephone_number": "406-727-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "DANIEL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-24",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Montana, P.C.
• Katherine M Pellett, APRN, NP
• Melissa Ann Pellot, R.N.
• Paul Pelroy, ARNP
• Bridgette Brianne Pence, PCLC
• Marianne H Pence, PCLC
• Tasha Pepos, RDN
• Belinda Grace Mangahas Perez, PT
• Martina Perkins
• Ryan Perrin

• General Practice Dentistry in Great Falls, MT
• Providers in Great Falls, 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 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.