Sprout Oral Health

LBN: Sprout Oral Health
Sprout Oral Health is an health care organization with primary practice located at 108 Village Downtown Blvd , Bozeman MT 59715-3815. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sprout Oral Health can be contacted via phone (406) 868-1549, or through Gillette, Jane via phone (406) 868-1549.

Contact Information

Primary practice address
108 Village Downtown Blvd Bozeman MT 59715-3815
Phone: (406) 868-1549
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gillette, Jane
Phone: (406) 868-1549

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1700214350
LBN Legal business name Sprout Oral Health
DBA Doing business as
Authorized official Gillette, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2013
Last updated Mar 27th, 2014 - about 12 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 1700214350 NPPES
Montana MEDICAID 7115108

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