Organization
SUNSET DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCHUYLER ANNE VANDYKE DMD (DENTIST DMD)
(406) 278-3609
Entity
Organization
Contact information
Practice address
417 2ND AVE SW, CONRAD, MT 59425
(406) 278-3609
(406) 278-5458
Mailing address
417 2ND AVE SW, CONRAD, MT 59425
(406) 278-3609
(406) 278-5458
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1880
MT
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112438
—
MT
01
—
18804
BLX
MT
01
—
5512182
CHIPS
MT
Enumeration date
08/30/2006
Last updated
10/15/2014
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