# ELITE DENTAL, LLC

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

## Provider details

- **NPI number:** 1760202014
- **Authorized official:** DR. JACK DAIGREPONT DDS (DENTIST)
- **Authorized official phone:** (318) 359-0009

## Contact information

- **Practice address:** 2376 MAIN ST STE 812, BILLINGS, MT 59105-4018
- **Practice address phone:** (406) 656-5200
- **Mailing address:** 705 MAIN ST, ROUNDUP, MT 59072-2423
- **Mailing address phone:** (318) 359-0009

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/11/2024