Whalio Doctors

NPI 1043686892

Sunset Dental Care PC

Organisation Customized Equipment (DME) Great Falls, MT

Practice location

Address
401 15th Ave S Suite 102, Great Falls, MT 59405-4334
Phone
(406) 952-0154
Fax
(406) 952-0153
Mailing address
417 2nd Ave SW, Conrad, MT 59425-1901

Authorised official

Name
Schuyler a Vandyke
Title
Dentist/Owner
Phone
(406) 952-0154

Registered specialties (2)

Customized Equipment (DME) Primary
Suppliers Taxonomy 332BC3200X Licence 1880 (MT)
Dentist
Dental Providers Taxonomy 122300000X Licence 1880 (MT)

Registry record

NPI
1043686892
Entity type
Organization
NPI issued
17 Aug 2015
Record last updated
17 Aug 2015

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.