Organization Active NPI

Lamplighter Dental PLLC

  • General Practice Dentistry
  • Billings, MT
National Provider Identifier
1982839890
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2218 Issued in MT
Legal business name
LAMPLIGHTER DENTAL PLLC
Practice address
2675 Central Ave
Suite 13
Billings, MT 59102-6686
Phone
(406) 294-2900
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Dr. Elgin Wade Wilde, DMD
Title
Dentist
Phone
(406) 294-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2218 MT Primary

Addresses

Primary practice location

2675 Central Ave
Suite 13
Billings, MT 59102-6686

Mailing address

2675 Central Ave
Suite 13
Billings, MT 59102-6686
Phone (406) 294-2900

Other identifiers 1

IdentifierTypeStateIssuer
113607MedicaidMT

National Provider Directory

National Provider Directory

Locations

2675 Central Ave
Ste 13
Billings, MT 59102
Phone (406) 294-2900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1982839890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 CENTRAL AVE",
            "address_2": "SUITE 13",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026686",
            "telephone_number": "406-294-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 CENTRAL AVE",
            "address_2": "SUITE 13",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026686",
            "telephone_number": "406-294-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMPLIGHTER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "WILDE",
        "authorized_official_first_name": "ELGIN",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "406-294-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113607",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.