Healthcare Provider Details
I. General information
NPI: 1801272471
Provider Name (Legal Business Name): GREGORY ENGLAND D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/06/2015
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2900 CENTRAL AVE
BILLINGS MT
59102-8626
US
IV. Provider business mailing address
2900 CENTRAL AVE
BILLINGS MT
59102-8626
US
V. Phone/Fax
- Phone: 406-656-6100
- Fax: 406-281-8025
- Phone: 406-656-6100
- Fax: 406-281-8025
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | RES.3299 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | 11526 |
| License Number State | MT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: