Organization
DENNEHY & JERDE ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAIA JERDE DDS (CO-OWNER)
(406) 728-0397
Entity
Organization
Contact information
Practice address
521 SW HIGGINS AVE, MISSOULA, MT 59803-1409
(406) 728-0397
Mailing address
521 SW HIGGINS AVE, MISSOULA, MT 59803-1409
(406) 728-0397
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/17/2020
Last updated
02/21/2024
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