Jamie M. Bacon Crossman, Dds, PC

NPI #1235242439 in Hamilton, Montana

Provider Information

NPI Number: 1235242439
Entity Type: Organization
Organization Name: Jamie M. Bacon Crossman, Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 15, 2006
Last Updated: Jun 19, 2008

Practice Location

Address: 299 FAIRGROUNDS RD
Address 2: SUITE # 2
City: Hamilton
State: Montana
ZIP Code: 59840-3199
Phone: (406) 363-1911

Authorized Official

Name: MR. ROBERT EDWARD CROSSMAN
Title: CORP. SECRETARY
Phone: (406) 363-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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