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Organization
TANNER NELSON, DDS, PLLC
Active
Organization
TANNER NELSON, DDS, PLLC
Active
Other names
Cottonwood Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER NELSON DDS (OWNER)
(406) 661-9313
Entity
Organization
Contact information
Practice address
910 1ST AVE N, GREAT FALLS, MT 59401-2606
(406) 661-9313
Mailing address
3235 5TH AVE S, GREAT FALLS, MT 59405-3339
(406) 661-9313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
06/21/2024
Last updated
07/24/2026
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