Organization
NIELSEN DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KENT NIELSEN D.D.S. (OWNER)
(406) 442-7831
Entity
Organization
Contact information
Practice address
2619 COLONIAL DR STE B, HELENA, MT 59601-4948
(406) 442-7831
(406) 442-7893
Mailing address
2619 COLONIAL DR STE B, HELENA, MT 59601-4948
(406) 442-7831
(406) 442-7893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1969
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110007
—
MT
01
—
19694
BLUE CROSS OF MONTANA
MT
01
—
5511485
CHIPS
MT
01
—
901418
UNITED CONCORDIA
MT
Enumeration date
01/15/2008
Last updated
01/15/2008
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