Deer Creek Dental

Primary specialty

DentistTaxonomy code 122300000X

License

2310 Issued in MT

Legal business name

DEER CREEK DENTAL

Practice address

310 Wendell Ave
Suite 2
Lewistown, MT 59457-2267

Phone

(406) 535-6317

NPI assigned

Oct 23, 2008

Last updated

Oct 23, 2008By 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

Tyson C Smith, DDSNPI 1265464028

Title

Corporation Partner

Phone

(406) 535-6317

Specialties & licenses 1

Addresses

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.

• Tyson Courtney Smith, DDS

  • Dentist
  • Lewistown, MT
  • NPI 1265464028
  NPD (past) Authorized official

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1982857892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WENDELL AVE",
            "address_2": "SUITE 2",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572267",
            "telephone_number": "406-535-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WENDELL AVE",
            "address_2": "SUITE 2",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572267",
            "telephone_number": "406-535-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER CREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CORPORATION PARTNER",
        "authorized_official_telephone_number": "406-535-6317",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Croff, PHARMD
• Kristopher G Cunningham, MD
• Katie D'Autremont, LCPC
• Ireneo Tumali De Guzman, CRNA
• Kimberlee Dawne Decker, DNP APRN FNP-BC
• Penny Denning, PA-C
• Corey Denton, PHARMD
• District 6 Human Resources Development Council (District 6 HRDC)
• Roger L Dixon, DMD
• Donald R. Hecht, D.C., P.C. (Community Chiropractic Center)

• Dentist in Lewistown, MT
• Providers in Lewistown, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.