# MIHAILOVICH FAMILY DENTISTRY LLC

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

## Provider details

- **NPI number:** 1447805304
- **Authorized official:** DR. COREY A MIHAILOVICH DMD (OWNER/DENTIST)
- **Authorized official phone:** (406) 494-7033

## Contact information

- **Practice address:** 2423 CORNELL AVE, BUTTE, MT 59701-3848
- **Practice address phone:** (406) 494-7033
- **Practice address fax:** (406) 494-8256
- **Mailing address:** 2423 CORNELL AVE, BUTTE, MT 59701-3848
- **Mailing address phone:** (406) 494-7033
- **Mailing address fax:** (406) 494-8256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2019
- **Last updated:** 08/07/2019