# HAMILTON ADVANCED DENTISTRY LLC

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

## Provider details

- **NPI number:** 1316320856
- **Authorized official:** ELI K JOHNSON DDS (PRESIDENT)
- **Authorized official phone:** (406) 363-2421

## Contact information

- **Practice address:** 215 N 10TH ST STE A, HAMILTON, MT 59840-2328
- **Practice address phone:** (406) 363-2421
- **Practice address fax:** (406) 363-4541
- **Mailing address:** 215 N 10TH ST STE A, HAMILTON, MT 59840-2328
- **Mailing address phone:** (406) 363-2421
- **Mailing address fax:** (406) 363-2425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DEN-DEN-LIC-9616 | MT | Yes |

## Other

- **Enumeration date:** 07/01/2015
- **Last updated:** 01/03/2017