# ROUNDUP FAMILY DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700522398
- **Authorized official:** DR. JACK DAIGREPONT DDS (GENERAL DENTIST)
- **Authorized official phone:** (406) 323-1234

## Contact information

- **Practice address:** 239 MAIN ST, ROUNDUP, MT 59072-2735
- **Practice address phone:** (406) 323-1234
- **Mailing address:** 239 MAIN ST, ROUNDUP, MT 59072-2735
- **Mailing address phone:** (406) 323-1234

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2022
- **Last updated:** 05/13/2022