Organization
WESTERN MONTANA FAMILY DENTISTRY
Active
Other names
Bagnell Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY HOWARD BAGNELL DDS (OWNER/DENTIST)
(406) 676-8880
Entity
Organization
Contact information
Practice address
63355 US HIGHWAY 93, RONAN, MT 59864-2702
(406) 676-8880
(406) 676-8881
Mailing address
63355 US HIGHWAY 93, RONAN, MT 59864-2702
(406) 676-8880
(406) 676-8881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1951
MT
Other
Enumeration date
09/01/2011
Last updated
10/03/2016
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