# GABRIEL MCCORMICK DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bozeman Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245687250
- **Authorized official:** DR. GABRIEL MCCORMICK DMD (OWNER/MEMBER)
- **Authorized official phone:** (406) 586-7661

## Contact information

- **Practice address:** 115 W KAGY BLVD, STE I, BOZEMAN, MT 59715-6027
- **Practice address phone:** (406) 586-7661
- **Practice address fax:** (406) 586-7662
- **Mailing address:** 115 W KAGY BLVD, STE I, BOZEMAN, MT 59715-6027
- **Mailing address phone:** (406) 586-7661
- **Mailing address fax:** (406) 586-7662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2343 | MT | Yes |

## Other

- **Enumeration date:** 05/19/2016
- **Last updated:** 05/19/2016