MEDICARE: DEAN C SUKIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MED-PHYS-LIC-8370	MT
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	8370	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000015761	OTHER	MT	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457396186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN C SUKIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 35100
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59107-5100
Country	:	US
Telephone Number	:	406-238-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	536 S COTTONWOOD RD
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-9515
Country	:	US
Telephone Number	:	406-586-8029
Fax Number	:	406-586-8009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	12/18/2025

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