Clark Fork Dental

NPI #1770442949 in Missoula, Montana

Provider Information

NPI Number: 1770442949
Entity Type: Organization
Organization Name: Clark Fork Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 21, 2026
Last Updated: Jan 21, 2026

Practice Location

Address: 935 SW HIGGINS AVE STE 201
City: Missoula
State: Montana
ZIP Code: 59803-1422
Phone: (406) 721-2686

Authorized Official

Name: RUSS BLACKHURST, DMD
Title: DOCTOR/OWNER
Phone: (406) 721-2686

Specialties & Taxonomy Codes

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

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