Healthcare Provider Details

I. General information

NPI: 1215279997
Provider Name (Legal Business Name): RYAN SCOTT HECHT D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 CENTRAL AVE BLDG 2
BILLINGS MT
59102-8626
US

IV. Provider business mailing address

2900 CENTRAL AVE BLDG 2
BILLINGS MT
59102-8626
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 Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number9676
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number62219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: