Organization
GLACIER DENTAL GROUP, PC
Active
Organization
GLACIER DENTAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEIM DDS (PRESIDENT)
(406) 752-8081
Entity
Organization
Contact information
Practice address
1228 WHITEFISH STAGE, KALISPELL, MT 59901-2753
(406) 752-8081
(406) 752-8083
Mailing address
1228 WHITEFISH STAGE, KALISPELL, MT 59901-2753
(406) 752-8081
(406) 752-8083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2195
MT
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113696
—
MT
01
—
5512964
BLUE CHIP
MT
Enumeration date
02/21/2007
Last updated
02/12/2025
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