Western Montana Family Dentistry

NPI #1821379009 in Ronan, Montana

Provider Information

NPI Number: 1821379009
Entity Type: Organization
Organization Name: Western Montana Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Sep 1, 2011
Last Updated: Oct 3, 2016

Practice Location

Address: 63355 US HIGHWAY 93
City: Ronan
State: Montana
ZIP Code: 59864-2702
Phone: (406) 676-8880

Authorized Official

Name: DR. TIMOTHY HOWARD BAGNELL, DDS
Title: OWNER/DENTIST
Phone: (406) 676-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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