Healthcare Provider Details

I. General information

NPI: 1962336495
Provider Name (Legal Business Name): BYRON TUCKER ROLLINS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 CENTENNIAL AVE
BUTTE MT
59701-2870
US

IV. Provider business mailing address

2315 NORTH DR
BUTTE MT
59701-6161
US

V. Phone/Fax

Practice location:
  • Phone: 406-723-4075
  • Fax:
Mailing address:
  • Phone: 406-496-6026
  • Fax: 406-496-6035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN-DEN-LIC-33380
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: