Individual
DR. MATTHEW A WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
422 BROADWAY ST, SUITE A, TOWNSEND, MT 59644-2322
(406) 266-3402
(406) 266-9084
Mailing address
422 BROADWAY ST, SUITE A, TOWNSEND, MT 59644-2322
(406) 266-3402
(406) 266-9084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1663
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110738
—
MT
01
—
16634
BLUECROSS/BLUESHEILD OF M
MT
01
—
5510401
BLUECHIP
MT
01
—
592030
UNITED CONCORDIA
MT
Enumeration date
09/20/2006
Last updated
07/09/2007
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