# YELLOWSTONE FAMILY DENTAL

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

## Provider details

- **NPI number:** 1437434123
- **Authorized official:** DR. MATTHEW LARSEN DMD (DENTIST)
- **Authorized official phone:** (406) 245-7026

## Contact information

- **Practice address:** 1045 N 27TH ST, BILLINGS, MT 59101-0711
- **Practice address phone:** (406) 245-7026
- **Practice address fax:** (406) 238-0141
- **Mailing address:** 1045 N 27TH ST, BILLINGS, MT 59101-0711
- **Mailing address phone:** (406) 245-7026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2111 | MT | Yes |

## Other

- **Enumeration date:** 10/13/2011
- **Last updated:** 12/29/2020