# KERICKSEN, DMD PLLC

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

## Provider details

- **NPI number:** 1508639311
- **Authorized official:** DR. KURT ERICKSEN DMD (OWNER)
- **Authorized official phone:** (406) 591-7279

## Contact information

- **Practice address:** 2700 GRAND AVE STE C, BILLINGS, MT 59102-2682
- **Practice address phone:** (406) 652-9100
- **Mailing address:** 2700 GRAND AVE STE C, BILLINGS, MT 59102-2682
- **Mailing address phone:** (406) 652-9100

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2023
- **Last updated:** 11/02/2023
