# KENNETH J BAGBY DDS P C

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

## Provider details

- **NPI number:** 1912514977
- **Authorized official:** KENNETH J BAGBY DDS (DENTIST)
- **Authorized official phone:** (406) 252-1078

## Contact information

- **Practice address:** 1540 LAKE ELMO DR STE 3, BILLINGS, MT 59105-1798
- **Practice address phone:** (406) 252-1078
- **Practice address fax:** (406) 245-8087
- **Mailing address:** 1540 LAKE ELMO DR STE 3, BILLINGS, MT 59105-1798
- **Mailing address phone:** (406) 252-1078
- **Mailing address fax:** (406) 245-8087

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2020
- **Last updated:** 11/28/2023