# JESSE MCCLUNG DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Big Sky Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487103172
- **Authorized official:** SHEILA C FEENSTRA (OFFICE MANAGER)
- **Authorized official phone:** (406) 586-5949

## Contact information

- **Practice address:** 108 N 11TH AVE STE \#2, BOZEMAN, MT 59715
- **Practice address phone:** (406) 586-5949
- **Mailing address:** 108 N 11TH AVE STE 2, BOZEMAN, MT 59715-3264
- **Mailing address phone:** (406) 586-5949

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2016
- **Last updated:** 09/23/2016
