| Elevation Dental Deer Lodge Pllc | |
|
1101 Maryland Ave Deer Lodge MT 59722-1807 | |
| (406) 846-3532 | |
| (406) 846-1885 |
| Full Name | Elevation Dental Deer Lodge Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1101 Maryland Ave, Deer Lodge, Montana |
| Authorized Official Name and Position | Paul K Nielsen (PRESIDENT) |
| Authorized Official Contact | 4068463532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation Dental Deer Lodge Pllc 1101 Maryland Ave Deer Lodge MT 59722-1807 Ph: (406) 846-3532 | Elevation Dental Deer Lodge Pllc 1101 Maryland Ave Deer Lodge MT 59722-1807 Ph: (406) 846-3532 |
| NPI Number | 1063074524 |
|---|---|
| Provider Enumeration Date | 07/05/2019 |
| Last Update Date | 07/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063074524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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