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Organization

BIGHORN SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADY KELLER DMD (OWNER)
(406) 671-2483
Entity
Organization

Contact information

Practice address
3415 AVENUE E, BILLINGS, MT 59102-6561
(406) 248-3303
Mailing address
3415 AVENUE E, BILLINGS, MT 59102-6561
(406) 661-9366

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223D0004X
Dental Anesthesiology
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
1223P0106X
Oral and Maxillofacial Pathology Dentistry
1223P0221X
Pediatric Dentistry
1223P0300X
Periodontics
1223P0700X
Prosthodontics
1223X0008X
Oral and Maxillofacial Radiology Dentistry
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1223X2210X
Orofacial Pain Dentistry
126800000X
Dental Assistant
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QD0000X
Dental Clinic/Center
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center

Other

Enumeration date
05/16/2025
Last updated
02/23/2026
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