NORTHWEST DENTURE CENTER; NPI #1679911044

Contact Information

NORTHWEST DENTURE CENTER

2021 S HIGGINS AVE
MISSOULA, MT 59801-6762

Phone: 406-542-0609
Fax: 406-721-7617
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental Laboratory	292200000X

Indicates primary specialty

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NPI Profile & details for NORTHWEST DENTURE CENTER

NPI # 1679911044

LBN Legal business name NORTHWEST DENTURE CENTER

Authorized official KENNETH MACPHERSON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/07/2013

Last updated 06/07/2013 - About 13 years ago

Identifiers

MT	License #	DTR MT 18
MT	Other	1215088166	NPI TYPE 1

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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NORTHWEST DENTURE CENTER

Contact Information

Specialty

Dental Laboratory

NPI Profile & details for NORTHWEST DENTURE CENTER

Reviews for NORTHWEST DENTURE CENTER