# HEALTHY SMILES DENTAL GROUP

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

## Provider details

- **NPI number:** 1962611533
- **Authorized official:** DR. ANTHONY THIESSEN D.M.D. (PRESIDENT)
- **Authorized official phone:** (406) 433-7645

## Contact information

- **Practice address:** 203 2ND AVE SW, SIDNEY, MT 59270-4019
- **Practice address phone:** (406) 433-7645
- **Practice address fax:** (406) 433-1246
- **Mailing address:** 203 2ND AVE SW, SIDNEY, MT 59270-4019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1958 | MT | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020
