Individual
DR. MICHAEL GLENN BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4538 SWAN LN, BILLINGS, MT 59106-4707
(208) 851-1679
Mailing address
4538 SWAN LN, BILLINGS, MT 59106-4707
(208) 851-1679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-3996
ID
1223P0221X
Pediatric Dentistry
1308
WY
1223P0221X
Pediatric Dentistry
Primary
D1177
SD
Other
Enumeration date
07/20/2006
Last updated
08/31/2020
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