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Individual

MR. BARRY ERVIN YASKUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
201 BARBARA ST., STEVENSVILLE, MT 59870
(406) 777-5582
(406) 558-4794
Mailing address
201 BARBARA ST., STEVENSVILLE, MT 59870
(406) 777-5582
(406) 558-4794

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2150
MT
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-2150
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0113126
MT
01
013184
BLUE CROSS BLUE SHILED
MT
01
1313335
UNITED CONCORDIA
MT
01
5512546
CHIP
MT
Enumeration date
01/25/2007
Last updated
04/28/2025
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