Healthcare Provider Details

I. General information

NPI: 1780668053
Provider Name (Legal Business Name): DENNIS L. UKEN AUD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 05/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 WINNE AVE
HELENA MT
59601-4917
US

IV. Provider business mailing address

2626 WINNE AVE
HELENA MT
59601-4917
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-8838
  • Fax: 406-443-6367
Mailing address:
  • Phone: 406-443-8838
  • Fax: 406-443-6367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA007
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1279
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: