# GREAT FALLS DENTAL ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1275895039
- **Authorized official:** MR. DAVID B SELANDER (PRESIDENT)
- **Authorized official phone:** (406) 452-8740

## Contact information

- **Practice address:** 1601 2ND AVE N STE 100, GREAT FALLS, MT 59401-3285
- **Practice address phone:** (406) 452-8740
- **Mailing address:** 1601 2ND AVE N STE 100, GREAT FALLS, MT 59401-3285
- **Mailing address phone:** (406) 452-8740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | C226542-1319149 | MT | Yes |

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 06/07/2012