institution
Nanette B.i. Ault, D.d.s., P.c.
Periodontist in Missoula, Montana
NPI 1023181260

Nanette B.i. Ault, D.d.s., P.c. is a Periodontist based in Missoula, MT and is specialized in Periodontics. Nanette B.i. Ault, D.d.s., P.c. practices in Missoula, MT. The NPI Number for Nanette B.i. Ault, D.d.s., P.c. is 1023181260 and holds a License No. 2089 (Montana).

The current practice location address for Nanette B.i. Ault, D.d.s., P.c. is 619 Sw Higgins Ave Ste G, Missoula, MT and can be reached out via phone at 406-549-4867 and via fax at 406-721-3692. You can also correspond with Nanette B.i. Ault, D.d.s., P.c. through the mailing address at P.O. BOX 1131, MISSOULA, MT - 59806 (mailing address contact number: 406-549-4867).

Location: 619 Sw Higgins Ave Ste G, Missoula, MT, 59806
institution
Provider Profile Details
NPI Number
1023181260
Provider Name
Nanette B.i. Ault, D.d.s., P.c.
Credential
Provider Entity Type
Organization
Address
619 Sw Higgins Ave Ste G, Missoula, MT, 59806
Phone Number
406-549-4867
Fax Number
406-721-3692
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20894 01 MT BLUECROSS BLUESHIELD
0113390 05 MT
2089 01 MT DELTA
institution
Provider Business Practice Location Address Details
Address
619 Sw Higgins Ave Ste G
City
State
Zip
59803-1430
Phone Number
406-549-4867
Fax Number
406-721-3692
person
Provider Business Mailing Address Details
Address
619 Sw Higgins Ave Ste G
City
State
Zip
59803-1430
Phone Number
406-549-4867
Fax Number
406-721-3692
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
2089 (Montana)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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