# AD ASTRA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prairie Mountain Dentistry, Prairie Mountain Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386315570
- **Authorized official:** DR. JUSTIN HICKS DMD (PRESIDENT)
- **Authorized official phone:** (406) 868-4549

## Contact information

- **Practice address:** 736 N LAST CHANCE GULCH, HELENA, MT 59601-3319
- **Practice address phone:** (406) 430-1143
- **Mailing address:** 1900 E 6TH AVE, HELENA, MT 59601-4765
- **Mailing address phone:** (406) 868-4549

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2021
- **Last updated:** 10/11/2021