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Contact Information

SCHUYLER A VANDYKE, DMD
114 13TH ST S
GREAT FALLS, MT59401-3816
 Phone: 406-952-0154
 Fax: 406-952-0153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
 

General Practice

1223G0001X
 

Orofacial Pain

1223X2210X
Indicates primary specialty

NPI Profile & details for

NPI Number 1689890899
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/17/2007
Last updated 05/19/2022 - About 4 years ago
Identifiers
MT License # 1880
MT Medicaid 0112438
MT Other 1880 BLX OF MONTANA
MT Other 5512182 MONTANA CHIPS PROGRAM
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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