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Contact Information

BRUK P. WEYMOUTH, DDS, PC
3224 10TH AVE S
GREAT FALLS, MT59405-3449
 Phone: 406-727-1006
 Fax: 406-727-1008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BRUK P WEYMOUTH DDS PC · (Female)

NPI # 1053462341
Status Active
Credentials
Entity Individual
Enumeration date 01/15/2007
Last updated 04/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MT License # 1786
  • MT License # 2091
  • MT Medicaid 0112659
  • MT Medicaid 0112829
  • MT Other 5512284 DR BOLLWITT CHIP ID#
  • MT Other 5512386 DR WEYMOUTH CHIP ID #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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