Individual
DR. JAMES GROTH BIGELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
628 SOUTH AVE W, MISSOULA, MT 59801-8013
(406) 543-0300
Mailing address
628 SOUTH AVE W, MISSOULA, MT 59801-8013
(406) 543-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1739
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110435
—
MT
Enumeration date
04/14/2007
Last updated
07/08/2007
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