# A EUGENE BAILEY DDS PC

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

## Provider details

- **NPI number:** 1457478752
- **Authorized official:** DR. A EUGENE BAILEY DDS (DENTIST PRESIDENT)
- **Authorized official phone:** (406) 761-3131

## Contact information

- **Practice address:** 2523 6TH AVE SO, GREAT FALLS, MT 59405
- **Practice address phone:** (406) 761-3131
- **Practice address fax:** (406) 761-3133
- **Mailing address:** 2523 6TH AVE SO, GREAT FALLS, MT 59405
- **Mailing address phone:** (406) 761-3131
- **Mailing address fax:** (406) 761-3133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1235 | MT | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5511842 | CHIPS | MT |