# WESTERN MONTANA FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bagnell Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821379009
- **Authorized official:** DR. TIMOTHY HOWARD BAGNELL DDS (OWNER/DENTIST)
- **Authorized official phone:** (406) 676-8880

## Contact information

- **Practice address:** 63355 US HIGHWAY 93, RONAN, MT 59864-2702
- **Practice address phone:** (406) 676-8880
- **Practice address fax:** (406) 676-8881
- **Mailing address:** 63355 US HIGHWAY 93, RONAN, MT 59864-2702
- **Mailing address phone:** (406) 676-8880
- **Mailing address fax:** (406) 676-8881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1951 | MT | Yes |

## Other

- **Enumeration date:** 09/01/2011
- **Last updated:** 10/03/2016