# BUTTE FAMILY DENTAL

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

## Provider details

- **NPI number:** 1528355583
- **Authorized official:** DR. WILLIAM D. BRENNICK DDS (DENTIST)
- **Authorized official phone:** (406) 494-7080

## Contact information

- **Practice address:** 820 SAMPSON ST, BUTTE, MT 59701-3208
- **Practice address phone:** (406) 494-7080
- **Practice address fax:** (406) 494-4634
- **Mailing address:** 820 SAMPSON ST, BUTTE, MT 59701-3208
- **Mailing address phone:** (406) 494-7080
- **Mailing address fax:** (406) 494-4634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1475 | MT | Yes |
| 1223G0001X | General Practice Dentistry | 2355 | MT | — |

## Other

- **Enumeration date:** 06/28/2011
- **Last updated:** 06/28/2011