# GLACIER DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GLACIER COMMUNITY HEALTH CENTER, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497992424
- **Legal business name:** GLACIER COMMUNITY HEALTH CENTER, INC
- **Authorized official:** SYLVIA BERKRAM (CFO)
- **Authorized official phone:** (406) 873-5670

## Contact information

- **Practice address:** 140 S CENTRAL AVE, CUT BANK, MT 59427-3298
- **Practice address phone:** (406) 873-5222
- **Mailing address:** 519 E MAIN ST, CUT BANK, MT 59427-3015
- **Mailing address phone:** (406) 873-5670
- **Mailing address fax:** (406) 873-2256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 1843 | MT | Yes |

## Other

- **Enumeration date:** 01/13/2009
- **Last updated:** 01/13/2009