Organization
FIRST IMPRESSIONS DENTURE CLINIC LLC
Active
Other names
Limited Liability Company
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN L CASTEEL LD (DENTURIST AND LLC MEMBER)
(406) 216-4746
Entity
Organization
Contact information
Practice address
215 SMELTER AVE NE, STE #3, GREAT FALLS, MT 59404-1937
(406) 216-4746
(406) 216-4747
Mailing address
PO BOX 165, BLACK EAGLE, MT 59414-0165
(406) 216-4746
(406) 216-4747
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000030314
BCBS
MT
05
—
0150178
—
MT
01
—
5512471
CHIP
MT
Enumeration date
11/03/2006
Last updated
07/21/2014
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