Read, Russ P

Read, Russ P is an individual health care provider with primary practice located at 705 S Reserve St , Missoula MT 59801-2131. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Read, Russ P can be contacted via phone (406) 542-1600.

Contact Information

Primary practice address
705 S Reserve St Missoula MT 59801-2131
Phone: (406) 542-1600
Fax: (406) 542-8945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 1530 Montana

Profile Details

NPI number 1306965116
LBN Legal business name Read, Russ P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306965116 NPPES
Montana MEDICAID 131365

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