Individual
DR. SCHUYLER ANNE VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
114 13TH ST S, GREAT FALLS, MT 59401-3816
(406) 952-0154
(406) 952-0153
Mailing address
114 13TH ST S, GREAT FALLS, MT 59401-3816
(406) 952-0154
(406) 952-0153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1880
MT
1223X2210X
Orofacial Pain Dentistry
1880
MT
332BC3200X
Customized Equipment (DME)
Primary
1880
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112438
—
MT
01
—
1880
BLX OF MONTANA
MT
01
—
5512182
MONTANA CHIPS PROGRAM
MT
Enumeration date
04/17/2007
Last updated
05/19/2022
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