Individual
DR. ROBERT A. NEILL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PLLC
Contact information
Practice address
44 NELSON ISLAND LN, CASCADE, MT 59421-8348
(065) 606-0704
Mailing address
44 NELSON ISLAND LN, CASCADE, MT 59421-8348
(065) 606-0704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1559
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130156
—
MT
Enumeration date
01/15/2007
Last updated
01/27/2023
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