Jesse Lane Cole, DDS
Individual provider Active NPI General Practice Dentistry · Scobey, MT
NPI 1962672287 · NPPES record last updated Jan 20, 2015
Key facts
- NPI
- 1962672287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2425 (MT)
- Practice address
- 504 Timmons St
Scobey, MT 59263-0250 - Phone
- (406) 487-2650
- Fax
- (406) 487-2620
- NPI assigned
- Mar 3, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| D3990 | ID | MD | General Practice Dentistry |
| 2425 | MT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D3990 | ID | |
| General Practice Dentistry | 1223G0001X | 2425 | MT | Yes |
Addresses
Primary practice location
504 Timmons St
Scobey, MT 59263-0250
Mailing address
504 Timmons St
Scobey, MT 59263-0250
Phone (406) 487-2650
Other providers in Scobey, MT
- 406 RX PLLC
- John Britt Chandler Jr.
- County of Daniels
- Gregory Crowder
- Daniels County Dental Inc
- Daniels Memorial Hospital
- Daniels Memorial Hospital
All providers in Scobey, 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 Jan 20, 2015. 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.