Organization
FRED L. SAYRE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED L SAYRE DMD (OWNER)
(406) 728-4032
Entity
Organization
Contact information
Practice address
705 W SUSSEX AVE, MISSOULA, MT 59801-6834
(406) 728-4032
(406) 728-7380
Mailing address
705 W SUSSEX AVE, MISSOULA, MT 59801-6834
(406) 728-4032
(406) 728-7380
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1308
MT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2138
MT
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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