Calkins Dental Office, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7773 Issued in MT

Legal business name

CALKINS DENTAL OFFICE, LLC

Doing business as

Sandcreek Family Dentistry

Practice address

116 N Meade Ave
Glendive, MT 59330-1604

Phone

(406) 377-8265

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Don Calkins, DDSNPI 1598177115

Title

Owner

Phone

(406) 377-8265

Specialties & licenses 1

Addresses

Other names 1

• Sandcreek Family Dentistry Doing business as

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.

• Matthew Don Calkins, D.D.S

  • Dentist
  • Glendive, MT
  • NPI 1598177115
  Authorized official Same address or phone

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1972030708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MEADE AVE",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301604",
            "telephone_number": "406-377-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MEADE AVE",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301604",
            "telephone_number": "406-377-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALKINS DENTAL OFFICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-377-8265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MT",
            "license": "7773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandcreek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis C Blackhurst, CRNA
• Evan Callos Boncolmo, RN
• Kalyn Marie Briggs, PHD, OTR/L
• Amanda Brown, LCSW
• Cashwell L. Burrows, M.S, CCC-SLP
• Matthew Don Calkins, D.D.S
• Caring Hands Physical Therapy LLC
• George R Carson, D.D.S.
• Cedar & Sage Health Clinic & Medical (Cedar & Sage Health Clinic & Medspa, LLC)
• Joseph C Chamberlain, CRNA

• Dental Clinic/Center in Glendive, MT
• Providers in Glendive, 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 May 11, 2017; 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.