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Individual

DR. MATTHEW DONAL COPLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1314 HELENA AVE, HELENA, MT 59601-2950
(406) 442-1377
(406) 442-3011
Mailing address
1314 HELENA AVE, HELENA, MT 59601-2950
(406) 442-1377
(406) 442-3011

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2143
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0113087
MT
01
21434
BLUE CROSS BLUE SHIELD
MT
01
5512522
CHIPS PROVIDER
MT
Enumeration date
02/20/2007
Last updated
07/08/2007
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