# DAVID J. WILCOX DMD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Montana Dental Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023526480
- **Authorized official:** DR. DAVID JUDSON WILCOX DMD (OWNER/DENTIST)
- **Authorized official phone:** (406) 728-6068

## Contact information

- **Practice address:** 1920 S RUSSELL ST, MISSOULA, MT 59801-6624
- **Practice address phone:** (406) 728-6068
- **Practice address fax:** (406) 829-0868
- **Mailing address:** 1920 S RUSSELL ST, MISSOULA, MT 59801-6624
- **Mailing address phone:** (406) 728-6068
- **Mailing address fax:** (406) 829-0868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4815 | MT | Yes |

## Other

- **Enumeration date:** 01/18/2018
- **Last updated:** 01/18/2018