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GLACIER GRINS PEDIATRIC DENTISTRY PLLC NPI 1740799527


NPI Information

NPI: 1740799527
Provider Name: GLACIER GRINS PEDIATRIC DENTISTRY, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
155 HUTTON RANCH RD # 102
KALISPELL, MT
ZIP 59901
Phone: (425) 951-9576
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GLACIER GRINS PEDIATRIC DENTISTRY, PLLC is a dental clinic center in Kalispell, MT. GLACIER GRINS PEDIATRIC DENTISTRY, PLLC NPI is 1740799527. The provider is registered as an organization entity type.

The provider's business location address is:

155 HUTTON RANCH RD # 102
KALISPELL, MT
ZIP 59901-133
Phone: (425) 951-9576

The provider's authorized official is Chad Cattron .
The authorized official title is Owner and has the following contact phone number (406) 916-9575.

The enumeration date for this NPI number is 9/25/2017 and was last updated on 9/25/2017.


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
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: 11/14/2023

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