Healthcare Provider Details

I. General information

NPI: 1871521997
Provider Name (Legal Business Name): GAYLE ALAN ROSET DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 10/20/2020
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 GRAND AVENUE SUITE E
BILLINGS MT
59102
US

IV. Provider business mailing address

2700 GRAND AVENUE SUITE E
BILLINGS MT
59102
US

V. Phone/Fax

Practice location:
  • Phone: 406-652-1600
  • Fax: 406-252-2481
Mailing address:
  • Phone: 406-652-1600
  • Fax: 406-252-2481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberMT1582
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: