Organization
GEORGE R. CARSON D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE R. CARSON D.D.S. (OWNER)
(406) 377-8265
Entity
Organization
Contact information
Practice address
116 N MEADE AVE, GLENDIVE, MT 59330-1631
(406) 377-8265
Mailing address
116 N MEADE AVE, GLENDIVE, MT 59330-1631
(406) 377-8265
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1321
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075
—
MT
01
—
5510958
CHIP
MT
Enumeration date
12/04/2006
Last updated
05/23/2008
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