Gabriel McCormick Dmd PLLC
Dentist in Bozeman, MT. Organization (NPI-2).
NPI number1245687250
StatusActive
Last updated in NPPESMay 19, 2016
Details
- NPI
- 1245687250
- Entity type
- Organization (NPI-2)
- Legal business name
- Gabriel McCormick Dmd PLLC
- Organization subpart
- No
- Enumeration date
- May 19, 2016
- Last updated
- May 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2343 | MT | Yes |
Other names
- Bozeman Dentistry (Doing Business As)
Practice location
115 W Kagy BlvdSte I
Bozeman, MT 59715-6027
Phone 406-586-7661 · Fax 406-586-7662
Mailing address
115 W Kagy BlvdSte I
Bozeman, MT 59715-6027
Phone 406-586-7661 · Fax 406-586-7662
Authorized official
Gabriel McCormick
Owner/Member
4065867661
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