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Organization

ELEVATION DENTAL BUTTE PLLC

Active
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Organization

ELEVATION DENTAL BUTTE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL KENT NIELSEN DDS (PRESIDENT)
(406) 459-3263
Entity
Organization

Contact information

Practice address
800 W PLATINUM ST STE 1, BUTTE, MT 59701-2237
(406) 723-6070
Mailing address
800 W PLATINUM ST STE 1, BUTTE, MT 59701-2237
(406) 723-6070

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5511485
MT
Enumeration date
07/08/2019
Last updated
08/28/2024
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