Gundersen, Tyson John

Gundersen, Tyson John is an sole proprietor health care provider with primary practice located at 245 E Park St , Butte MT 59701-1829. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gundersen, Tyson John can be contacted via phone (406) 494-7058.

Contact Information

Primary practice address
245 E Park St Butte MT 59701-1829
Phone: (406) 494-7058
Fax: (406) 782-5812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DEN-DEN-LIC-7806 Montana

Profile Details

NPI number 1821403130
LBN Legal business name Gundersen, Tyson John
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2014
Last updated Jun 8th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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