Healthcare Provider Details

I. General information

NPI: 1801382866
Provider Name (Legal Business Name): AUSTEN WEEKS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2018
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S ALABAMA ST STE 3A
BUTTE MT
59701-2358
US

IV. Provider business mailing address

65 E BROADWAY ST STE 103
BUTTE MT
59701-9305
US

V. Phone/Fax

Practice location:
  • Phone: 406-723-5437
  • Fax:
Mailing address:
  • Phone: 208-313-2202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License NumberD-DA-5225
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD-DA-5225
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License NumberRES.003954
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: