# DENTAL DISTINCTIONS PC

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

## Provider details

- **NPI number:** 1285037457
- **Authorized official:** TERESA L. NELSON DDS (PRESIDENT)
- **Authorized official phone:** (406) 755-4166

## Contact information

- **Practice address:** 50 VILLAGE LOOP RD, KALISPELL, MT 59901-2793
- **Practice address phone:** (406) 755-4166
- **Practice address fax:** (406) 755-4644
- **Mailing address:** 50 VILLAGE LOOP RD, KALISPELL, MT 59901-2793
- **Mailing address phone:** (406) 755-4166
- **Mailing address fax:** (406) 755-4644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1888 | MT | Yes |

## Other

- **Enumeration date:** 10/02/2014
- **Last updated:** 10/02/2014