Hyalite Family Dentistry

LBN: Hyalite Family Dentistry
Hyalite Family Dentistry is an health care organization with primary practice located at 1195 Stoneridge Dr Suite #1, Bozeman MT 59718-7048. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Hyalite Family Dentistry can be contacted via phone (406) 586-4781, or through Monson, Eric David via phone (406) 586-4781.

Contact Information

Primary practice address
1195 Stoneridge Dr Suite #1 Bozeman MT 59718-7048
Fax: (406) 586-5227
Website:
Authorized official contact:
Name: Monson, Eric David Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1960 Montana

Profile Details

NPI number 1124237656
LBN Legal business name Hyalite Family Dentistry
DBA Doing business as
Authorized official Monson, Eric David Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124237656 NPPES
Montana MEDICAID 0005511090
Montana MEDICAID 0000111176

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