# BIG SKY DENTAL CLINIC

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

## Provider details

- **NPI number:** 1144623992
- **Authorized official:** DR. WILLIAM CHRISTOPHER CLAVE D.D.S. (OWNER)
- **Authorized official phone:** (406) 883-5544

## Contact information

- **Practice address:** 102 1ST AVE E, POLSON, MT 59860-2335
- **Practice address phone:** (406) 883-5544
- **Practice address fax:** (406) 883-5420
- **Mailing address:** 102 1ST AVE E, POLSON, MT 59860-2335
- **Mailing address phone:** (406) 883-5544
- **Mailing address fax:** (406) 883-5420

## Taxonomy

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

## Other

- **Enumeration date:** 10/07/2014
- **Last updated:** 10/07/2014