NPI 1023181260

Nanette B.I. Ault, D.D.S., P.C.

Organisation Periodontics Missoula, MT

Practice location

Address: 619 SW Higgins Ave STE G, Missoula, MT 59803-1430
Phone: (406) 549-4867
Fax: (406) 721-3692
Mailing address: P.O. Box 1131, Missoula, MT 59806

Authorised official

Name: Nanette B.I. Ault
Title: Periodontist
Phone: (406) 549-4867

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 2089 (MT)

Other Dentist providers in Montana →

Registry record

NPI: 1023181260
Entity type: Organization
NPI issued: 16 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.