Individual
DR. JAKE STEWART STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1101 MARYLAND AVE, DEER LODGE, MT 59722-1806
(406) 846-3532
(406) 846-1885
Mailing address
1101 MARYLAND AVE, DEER LODGE, MT 59722-1806
(406) 846-3532
(406) 846-1885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2087
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113016
—
MT
Enumeration date
07/08/2006
Last updated
07/08/2007
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