Montana Dental Spa

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MONTANA DENTAL SPA

Practice address

160 Heritage Way Ste 101
Kalispell, MT 59901-3127

Phone

(406) 314-4044

NPI assigned

Nov 20, 2019

Last updated

Nov 20, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

GREGORY SEAMANAs reported in NPPES

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

Authorized official

Name

Gregory M Seaman

Title

Doctor

Phone

(406) 314-4044

Specialties & licenses 1

Addresses

Part of

Montana Dental Spa

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Fisette, DMD

  • General Practice Dentistry
  • Kalispell, MT
  • NPI 1487213948
  NPD (past)

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1952947319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HERITAGE WAY STE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013127",
            "telephone_number": "406-314-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HERITAGE WAY STE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013127",
            "telephone_number": "406-314-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA DENTAL SPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREGORY SEAMAN",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "SEAMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "406-314-4044"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Dana Mohr, LAC
• Molar System PLLC (Quartz Creek Dental)
• Zachary Molyneaux, PA-C
• Wendy A Monen, MSW, LCSW
• Montana Counseling Solutions LLC
• Montana Dental Works
• Montana Laser and Medical Center, PLLC
• Montana Memory Makers
• Montana Pediatrics
• Montana Pharmaceutical Services

• Dental Clinic/Center in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Dental Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.