# COLUMBIA FALLS FAMILY DENTAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Montana Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508145913
- **Authorized official:** JOHN F MILLER D.D.S. (OWNER)
- **Authorized official phone:** (406) 892-2104

## Contact information

- **Practice address:** 105 NUCLEUS AVE, COLUMBIA FALLS, MT 59912
- **Practice address phone:** (406) 892-2104
- **Practice address fax:** (406) 892-1422
- **Mailing address:** P.O. BOX 1866, COLUMBIA FALLS, MT 59912
- **Mailing address phone:** (406) 892-2104
- **Mailing address fax:** (406) 892-1422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | MT2463 | MT | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 12/17/2019
