Headwaters Orthodontics, Pllc

NPI #1982433793 in Bozeman, Montana

Provider Information

NPI Number: 1982433793
Entity Type: Organization
Organization Name: Headwaters Orthodontics, Pllc
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jul 30, 2024
Last Updated: Jul 30, 2024

Practice Location

Address: 80 WILLOW PEAK DR UNIT D
City: Bozeman
State: Montana
ZIP Code: 59718-9827
Phone: (406) 920-4200

Authorized Official

Name: DR. VIVIAN SNIDER, DDS, MS
Title: OWNER
Phone: (719) 244-1548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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