# JEFF A DALEN DDS PLLC

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

## Provider details

- **NPI number:** 1427074053
- **Authorized official:** DR. JEFF A DALEN DDS (OWNER)
- **Authorized official phone:** (406) 862-4301

## Contact information

- **Practice address:** 6345 US HIGHWAY 93 S, WHITEFISH, MT 59937-8236
- **Practice address phone:** (406) 862-4301
- **Practice address fax:** (406) 862-9347
- **Mailing address:** PO BOX 4909, WHITEFISH, MT 59937-4909
- **Mailing address phone:** (406) 862-4301
- **Mailing address fax:** (406) 862-9347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1381 | MT | — |
| 1223G0001X | General Practice Dentistry | 2175 | MT | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 09/06/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0112217 | — | MT |