Individual
DR. JEFFREY SCOTT BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
203B RIDGEWATER DR STE 1, POLSON, MT 59860-9194
(406) 883-6269
(406) 883-9203
Mailing address
203B RIDGEWATER DR STE 1, POLSON, MT 59860-9194
(406) 883-6269
(406) 319-2076
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2462
MT
1223G0001X
General Practice Dentistry
Primary
2462
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7097623
—
MT
Enumeration date
07/06/2011
Last updated
02/06/2020
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