Jeff A Dalen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2175 Issued in MT

Practice address

6345 US Highway 93 S
Whitefish, MT 59937-8236

Phone

(406) 862-4301

Fax

(406) 862-9347

NPI assigned

Jan 12, 2010

Last updated

Sep 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeff a Dalen DDS PLLC

  • General Practice Dentistry
  • Whitefish, MT
  • NPI 1427074053
  NPD Authorized official

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1962732073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4909",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599374909",
            "telephone_number": "406-862-4301",
            "fax_number": "406-862-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 US HIGHWAY 93 S",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378236",
            "telephone_number": "406-862-4301",
            "fax_number": "406-862-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEN",
        "first_name": "JEFF",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-12",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112217",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynne Creighton, PSYD
• Lauren Christine Marie Crittenden, MA
• Benjamin David Crockett, D.D.S.
• Sierra Marie Crockford, PT
• Cycles of Life PLLC
• Shelby Swant Damaskos
• Suzanne Daniell
• Joseph Christopher De Cree, MA
• Amber Jewel Dean, DNP, PMHNP
• Renee Dean, LMT

• General Practice Dentistry in Whitefish, MT
• Providers in Whitefish, 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 Sep 6, 2019; 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.