# BREWER DENTAL CENTER PLLC

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

## Provider details

- **NPI number:** 1548410327
- **Authorized official:** CASSANDRA WIETH (DIRECTOR OF PAYER RELATIONS)
- **Authorized official phone:** (623) 267-8121

## Contact information

- **Practice address:** 2900 CENTRAL AVE, BLDG1, BILLINGS, MT 59102-6686
- **Practice address phone:** (406) 656-6100
- **Practice address fax:** (406) 656-8726
- **Mailing address:** 2900 CENTRAL AVE BLDG 1, BILLINGS, MT 59102-8626
- **Mailing address phone:** (406) 656-6100
- **Mailing address fax:** (406) 656-8726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1664 | MT | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 04/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113607 | — | MT |