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HYALITE FAMILY DENTISTRY NPI 1124237656


NPI Information

NPI: 1124237656
Provider Name: HYALITE FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1195 STONERIDGE DR
SUITE #1
BOZEMAN, MT
ZIP 59718
Phone: (406) 586-4781
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HYALITE FAMILY DENTISTRY is a general practice dentist in Bozeman, MT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HYALITE FAMILY DENTISTRY NPI is 1124237656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1195 STONERIDGE DR
SUITE #1
BOZEMAN, MT
ZIP 59718-048
Phone: (406) 586-4781
Fax: (406) 586-5227

The provider's authorized official is Eric David Monson .
The authorized official title is President and has the following contact phone number (406) 586-4781.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice1960MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10005511090MEDICAIDMONTANA
20000111176MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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