# SCHMIEDING DENTAL GROUP

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

## Provider details

- **NPI number:** 1447428008
- **Authorized official:** PETER JOHN SCHMIEDING DMD (OWNER DENTIST)
- **Authorized official phone:** (406) 682-3310

## Contact information

- **Practice address:** 5 SUNRISE LOOP \# C, ENNIS, MT 59729
- **Practice address phone:** (406) 682-3310
- **Practice address fax:** (406) 682-3386
- **Mailing address:** 5 SUNRISE LOOP \# C, ENNIS, MT 59729
- **Mailing address phone:** (406) 682-3310
- **Mailing address fax:** (406) 682-3386

## Taxonomy

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

## Other

- **Enumeration date:** 02/18/2008
- **Last updated:** 09/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0112863 | — | MT |
| 05 | — | 1447428008 | — | MT |
| 01 | — | 5511247 | BLUE CHIP PROGRAM | MT |
