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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

NPI Number 1053462341
LBN Legal business name BRUK P. WEYMOUTH, DDS, PC
Authorized official PENNY WEYMOUTH - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2007
Last updated 04/14/2008 - About 18 years ago
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 #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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