# BIRD FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053787655
- **Authorized official:** JEFFREY BIRD DMD (OWNER)
- **Authorized official phone:** (406) 883-6269

## Contact information

- **Practice address:** 203B RIDGEWATER DR STE 1, POLSON, MT 59860-9194
- **Practice address phone:** (406) 883-6269
- **Practice address fax:** (406) 883-6269
- **Mailing address:** 203B RIDGEWATER DR STE 1, POLSON, MT 59860-9194
- **Mailing address phone:** (406) 883-6269
- **Mailing address fax:** (406) 883-9203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2462 | MT | Yes |

## Other

- **Enumeration date:** 08/18/2015
- **Last updated:** 03/17/2020