Organization
A EUGENE BAILEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A EUGENE BAILEY DDS (DENTIST PRESIDENT)
(406) 761-3131
Entity
Organization
Contact information
Practice address
2523 6TH AVE SO, GREAT FALLS, MT 59405
(406) 761-3131
(406) 761-3133
Mailing address
2523 6TH AVE SO, GREAT FALLS, MT 59405
(406) 761-3131
(406) 761-3133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1235
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5511842
CHIPS
MT
Enumeration date
03/23/2007
Last updated
08/22/2020
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