# MADISON DENTAL PC

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

## Provider details

- **NPI number:** 1780383265
- **Authorized official:** WILLIAM SAMSON DDS (OWNER/DENTIST)
- **Authorized official phone:** (406) 404-1186

## Contact information

- **Practice address:** 1 STEAMBATH STE A, ENNIS, MT 59729-8505
- **Practice address phone:** (406) 404-1186
- **Practice address fax:** (406) 404-1187
- **Mailing address:** 3997 VALLEY COMMONS DR STE A, BOZEMAN, MT 59718-5617
- **Mailing address phone:** (406) 404-1186

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2023
- **Last updated:** 02/23/2023