Alpenglow Family Dentistry PLLC
Dentist, General Practice in Bozeman, MT. Organization (NPI-2).
NPI number1053877068
StatusActive
Last updated in NPPESFeb 14, 2019
Details
- NPI
- 1053877068
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpenglow Family Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2019
- Last updated
- Feb 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
4265 Fallon Street Ste 2Bozeman, MT 59718-6797
Phone 406-587-7411 · Fax 406-587-2357
Mailing address
4265 Fallon Street Ste 2Bozeman, MT 59718-6797
Phone 406-587-7411 · Fax 406-587-2357
Authorized official
Tyler C Melzer
Owner/President
4065877411
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