# BRIDGE CREEK DENTAL PLLC

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

## Provider details

- **NPI number:** 1982907242
- **Authorized official:** DR. KYLE B. WASSMER D.D.S (OWNER)
- **Authorized official phone:** (406) 652-1600

## Contact information

- **Practice address:** 525 HENRY CHAPPLE ST STE 5, BILLINGS, MT 59106-1865
- **Practice address phone:** (406) 652-1600
- **Practice address fax:** (406) 652-1205
- **Mailing address:** 525 HENRY CHAPPLE ST STE 5, BILLINGS, MT 59106-1865
- **Mailing address phone:** (406) 652-1600
- **Mailing address fax:** (406) 652-1205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 12/08/2010
- **Last updated:** 09/04/2024
