Individual
JOEL GRAYSON SAYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
115 W KAGY BLVD, SUITE C, BOZEMAN, MT 59715-6027
(406) 587-2327
(406) 587-3338
Mailing address
115 W KAGY BLVD, SUITE C, BOZEMAN, MT 59715-6027
(406) 587-2327
(406) 587-3338
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2212
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033319
CHIP INS. WITH BCBS OF MT
MT
05
—
0033436
—
MT
Enumeration date
10/27/2006
Last updated
07/08/2007
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