Organization
DEER CREEK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON C SMITH DDS (CORPORATION PARTNER)
(406) 535-6317
Entity
Organization
Contact information
Practice address
310 WENDELL AVE, SUITE 2, LEWISTOWN, MT 59457-2267
(406) 535-6317
Mailing address
310 WENDELL AVE, SUITE 2, LEWISTOWN, MT 59457-2267
(406) 535-6317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2310
MT
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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