Individual
DR. AIMEE R AMELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2609 16 AVE S, GREAT FALLS, MT 59405
(406) 761-4288
(406) 761-7688
Mailing address
613 PARK DR S, GREAT FALLS, MT 59405-1807
(406) 761-4288
(406) 761-7688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2048MT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113577
—
MT
01
—
1376945
TRICARE UNITED CONCORDIA
—
01
—
41344
BLUE CROSS BLUE SHIELD
MT
Enumeration date
11/17/2006
Last updated
01/14/2025
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