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NORTHWEST DENTURE CENTER NPI 1679911044


NPI Information

NPI: 1679911044
Provider Name: NORTHWEST DENTURE CENTER
Classification: Dental Laboratory - 292200000X
Entity Type: Organization
Address:
2021 S HIGGINS AVE
MISSOULA, MT
ZIP 59801
Phone: (406) 542-0609
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NORTHWEST DENTURE CENTER is a dental laboratory in Missoula, MT. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. NORTHWEST DENTURE CENTER NPI is 1679911044. The provider is registered as an organization entity type.

The provider's business location address is:

2021 S HIGGINS AVE
MISSOULA, MT
ZIP 59801-762
Phone: (406) 542-0609
Fax: (406) 721-7617

The provider's authorized official is Kenneth Scott Macpherson .
The authorized official title is Owner and has the following contact phone number (406) 542-0609.

The enumeration date for this NPI number is 6/7/2013 and was last updated on 6/7/2013.


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
1292200000XDental LaboratoryDTR MT 18MONTANAYes

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
11215088166OTHERMONTANANPI TYPE 1

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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