4EAGLE DENTAL GROUP PLLP NPI 1154143048

NPI Information

  • NPI: 1154143048
  • Provider Name: 4EAGLE DENTAL GROUP PLLP
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 100 VILLAGE LN
    BIGFORK, MT
    ZIP 59911
  • Phone: (406) 837-4806

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NPI Details

4EAGLE DENTAL GROUP PLLP is a dental clinic center in Bigfork, MT. 4EAGLE DENTAL GROUP PLLP NPI is 1154143048. The provider is registered as an organization entity type.

The provider's business location address is:

100 VILLAGE LN
BIGFORK, MT
ZIP 59911-711
Phone: (406) 837-4806
Fax: (406) 837-4809

The provider's authorized official is David Keim .
The authorized official title is Member Owner and has the following contact phone number (406) 471-5880.

The enumeration date for this NPI number is 10/30/2024 and was last updated on 10/30/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

NPI Synchronization or Removal

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