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Organization

HELMS FAMILY DENTAL PRACTICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON HELMS DMD (PRESIDENT)
(406) 721-8250
Entity
Organization

Contact information

Practice address
1547 S HIGGINS AVE, MISSOULA, MT 59801-4226
(406) 728-3848
Mailing address
2200 RAFFERTY LN, MISSOULA, MT 59804-6104
(406) 721-8250

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0112319
MT
01
5512117
CHIPS
MT
Enumeration date
11/04/2019
Last updated
11/04/2019
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