NPI 1083458624

Jacob Robert Windauer, DMD

Practitioner General Practice Dentistry Polson, MT

Practice location

Address: 421 Main St, Polson, MT 59860-2123
Phone: (406) 883-1343

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DEN-DEN-LIC-28440 (MT)

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Registry record

NPI: 1083458624
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2024
Record last updated: 19 Jun 2024

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.