# HYALITE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1124237656
- **Authorized official:** DR. ERIC DAVID MONSON DMD (PRESIDENT)
- **Authorized official phone:** (406) 586-4781

## Contact information

- **Practice address:** 1195 STONERIDGE DR, SUITE \#1, BOZEMAN, MT 59718-7048
- **Practice address phone:** (406) 586-4781
- **Practice address fax:** (406) 586-5227
- **Mailing address:** 1195 STONERIDGE DR, SUITE \#1, BOZEMAN, MT 59718-7048
- **Mailing address phone:** (406) 586-4781
- **Mailing address fax:** (406) 586-5227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1960 | MT | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000111176 | — | MT |
| 05 | — | 0005511090 | — | MT |