Hamilton Advanced Dentistry LLC
Clinic/Center, Dental in Hamilton, MT. Organization (NPI-2).
NPI number1316320856
StatusActive
Last updated in NPPESJan 3, 2017
Details
- NPI
- 1316320856
- Entity type
- Organization (NPI-2)
- Legal business name
- Hamilton Advanced Dentistry LLC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2015
- Last updated
- Jan 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | Den-den-lic-9616 | MT | Yes |
Practice location
215 N 10th St Ste AHamilton, MT 59840-2328
Phone 406-363-2421 · Fax 406-363-4541
Mailing address
215 N 10th St Ste AHamilton, MT 59840-2328
Phone 406-363-2421 · Fax 406-363-2425
Authorized official
Eli K Johnson
President
4063632421
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