Organization
MT SPECIALTY DENTAL SERVICES, PLLC
Active
Parent organization
MT SPECIALTY DENTAL SERVICES, PLLC
Other names
Bennion and Lambourne Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MT SPECIALTY DENTAL SERVICES, PLLC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CRED AND PROVIDER RELAT)
(504) 638-0303
Entity
Organization
Contact information
Practice address
152 S 32ND ST W, BILLINGS, MT 59102-6875
(406) 245-4414
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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