# LAMPLIGHTER DENTAL PLLC

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

## Provider details

- **NPI number:** 1982839890
- **Authorized official:** DR. ELGIN WADE WILDE DMD (DENTIST)
- **Authorized official phone:** (406) 294-2900

## Contact information

- **Practice address:** 2675 CENTRAL AVE, SUITE 13, BILLINGS, MT 59102-6686
- **Practice address phone:** (406) 294-2900
- **Mailing address:** 2675 CENTRAL AVE, SUITE 13, BILLINGS, MT 59102-6686
- **Mailing address phone:** (406) 294-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2218 | MT | Yes |

## Other

- **Enumeration date:** 05/20/2009
- **Last updated:** 05/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 113607 | — | MT |
