Organization
BRUK P. WEYMOUTH, DDS, PC
Active
Other names
Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY WEYMOUTH (OFFICE MANAGER)
(406) 727-1006
Entity
Organization
Contact information
Practice address
3224 10TH AVE S, GREAT FALLS, MT 59405-3449
(406) 727-1006
(406) 727-1008
Mailing address
PO BOX 7050, GREAT FALLS, MT 59406-7050
(406) 727-1006
(406) 727-1008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1786
MT
1223G0001X
General Practice Dentistry
Primary
2091
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112659
—
MT
05
—
0112829
—
MT
01
—
5512284
DR BOLLWITT CHIP ID#
MT
01
—
5512386
DR WEYMOUTH CHIP ID #
MT
Enumeration date
01/15/2007
Last updated
04/14/2008
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