Organization
ELEVATION DENTAL DEER LODGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL K NIELSEN DDS (PRESIDENT)
(406) 846-3532
Entity
Organization
Contact information
Practice address
1101 MARYLAND AVE, DEER LODGE, MT 59722-1807
(406) 846-3532
(406) 846-1885
Mailing address
1101 MARYLAND AVE, DEER LODGE, MT 59722-1807
(406) 846-3532
(406) 846-1885
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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