Individual
DR. DAVID J. SIEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5 4TH AVE E, POLSON, MT 59860-2117
(406) 883-5541
(406) 883-3379
Mailing address
308 MISSION DR, PO BOX 880, ST IGNATIUS, MT 59865-9676
(406) 745-3525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2228
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7097623
—
MT
Enumeration date
05/17/2007
Last updated
10/27/2011
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