Healthcare Provider Details

I. General information

NPI: 1598105744
Provider Name (Legal Business Name): THADDEUS WALKER HONAKER D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2013
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2675 CENTRAL AVE STE 13
BILLINGS MT
59102-6686
US

IV. Provider business mailing address

2675 CENTRAL AVE STE 13
BILLINGS MT
59102-6686
US

V. Phone/Fax

Practice location:
  • Phone: 406-656-6100
  • Fax:
Mailing address:
  • Phone: 406-656-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN-DEN-LIC-5989
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number5989
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: