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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