Healthcare Provider Details

I. General information

NPI: 1427590561
Provider Name (Legal Business Name): FRENCHTOWN DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2016
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16350 BECKWITH ST
FRENCHTOWN MT
59834-9812
US

IV. Provider business mailing address

16350 BECKWITH ST
FRENCHTOWN MT
59834-9812
US

V. Phone/Fax

Practice location:
  • Phone: 406-626-4337
  • Fax:
Mailing address:
  • Phone: 406-626-4337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number5911
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER DAWN SANDERS
Title or Position: OWNER
Credential: DME
Phone: 406-626-4337