Healthcare Provider Details

I. General information

NPI: 1497787725
Provider Name (Legal Business Name): DENNIS W MAIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 12TH AVE N SUITE 320W
BILLINGS MT
59101-7506
US

IV. Provider business mailing address

2900 12TH AVE N SUITE 320W
BILLINGS MT
59101-7506
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-6470
  • Fax: 406-238-6499
Mailing address:
  • Phone: 406-238-6470
  • Fax: 406-238-6499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number7333
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number7333
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: