# EUGENE A. TYNES D.D.S. P.C.

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

## Provider details

- **NPI number:** 1104062843
- **Authorized official:** DR. EUGENE A TYNES DDS (DENTIST)
- **Authorized official phone:** (406) 761-3800

## Contact information

- **Practice address:** 300 PARK DR S STE 202, GREAT FALLS, MT 59405-1819
- **Practice address phone:** (406) 761-3800
- **Mailing address:** 300 PARK DR S STE 202, GREAT FALLS, MT 59405-1819
- **Mailing address phone:** (406) 761-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2008
- **Last updated:** 12/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 810493586 | DENTIST | MT |