Individual
DR. TIMOTHY H. BAGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15276 BELKER LANE, FRENCHTOWN, MT 59834
(406) 626-5520
(406) 626-5468
Mailing address
PO BOX 439, FRENCHTOWN, MT 59834
(406) 626-5520
(406) 626-5468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1951
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111537
—
MT
01
—
19514
BLUE CROSS BLUE SHIELD
MT
01
—
5511196
CHIP
MT
01
—
696698
UNITED CONCORDIA COMPANIE
—
Enumeration date
08/25/2006
Last updated
07/17/2023
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