Dr. Evgenii Prosk, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Bozeman, MT. Individual provider (NPI-1).
NPI number1730810557
StatusActive
Last updated in NPPESSep 12, 2024
Details
- NPI
- 1730810557
- Entity type
- Individual (NPI-1)
- Name
- Dr. Evgenii Prosk
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2022
- Certification date
- Sep 12, 2024
- Last updated
- Sep 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DEN-DEN-LIC-28499 | MT | Yes |
Practice location
108 N 11th Ave Ste 4Bozeman, MT 59715-3264
Phone 406-587-5435
Mailing address
108 N 11th Ave Ste 4Bozeman, MT 59715-3264
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All 14 Orthodontics and Dentofacial Orthopedics Dentistry providers in Bozeman · All 3,190 providers in Bozeman
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