Healthcare Provider Details
I. General information
NPI: 1801707914
Provider Name (Legal Business Name): BIGHORN ORTHODONTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2625 SAINT JOHNS AVE STE 1
BILLINGS MT
59102-4664
US
IV. Provider business mailing address
2625 SAINT JOHNS AVE STE 1
BILLINGS MT
59102-4664
US
V. Phone/Fax
- Phone: 406-640-5940
- Fax:
- Phone: 406-640-5940
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
RECTOR
Title or Position: OWNER/PROVIDER
Credential: DDS MS
Phone: 406-640-5940