Deer Creek Dental

NPI #1982857892 in Lewistown, Montana

Provider Information

NPI Number: 1982857892
Entity Type: Organization
Organization Name: Deer Creek Dental
Primary Specialty: Dentist
Enumeration Date: Oct 23, 2008
Last Updated: Oct 23, 2008

Practice Location

Address: 310 WENDELL AVE
Address 2: SUITE 2
City: Lewistown
State: Montana
ZIP Code: 59457-2267
Phone: (406) 535-6317

Authorized Official

Name: TYSON C SMITH, DDS
Title: CORPORATION PARTNER
Phone: (406) 535-6317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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