# NYBO AND VAN KIRK DENTAL, LLC

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

## Provider details

- **NPI number:** 1386882876
- **Authorized official:** DR. KENNETH CHARLES VAN KIRK D.D.S. (OFFICER)
- **Authorized official phone:** (406) 587-1688

## Contact information

- **Practice address:** 1125 W KAGY BLVD, SUITE 200, BOZEMAN, MT 59715-5881
- **Practice address phone:** (406) 587-1688
- **Practice address fax:** (406) 582-5473
- **Mailing address:** 1125 W KAGY BLVD, SUITE 200, BOZEMAN, MT 59715-5881
- **Mailing address phone:** (406) 587-1688
- **Mailing address fax:** (406) 582-5473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2265 | MT | Yes |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 01/22/2009