Healthcare Provider Details

I. General information

NPI: 1346276011
Provider Name (Legal Business Name): RICHARD B TROYER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 SOUTH 7950 EAST CROW NORTHERN CHEYENNE INDIAN HOSPITAL
CROW AGENCY MT
59022
US

IV. Provider business mailing address

703 NORTH CODY
HARDIN MT
59034
US

V. Phone/Fax

Practice location:
  • Phone: 406-638-3500
  • Fax: 406-638-3569
Mailing address:
  • Phone: 406-665-1607
  • Fax: 406-638-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDE00005878
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: