Individual
JEFF A DALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6345 US HIGHWAY 93 S, WHITEFISH, MT 59937-8236
(406) 862-4301
(406) 862-9347
Mailing address
PO BOX 4909, WHITEFISH, MT 59937-4909
(406) 862-4301
(406) 862-9347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2175
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112217
—
MT
Enumeration date
01/12/2010
Last updated
09/06/2019
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