Healthcare Provider Details

I. General information

NPI: 1366561375
Provider Name (Legal Business Name): KIESLING DENTAL ASSOCIATES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N LAST CHANCE GULCH ST SUITE # E
HELENA MT
59601-4159
US

IV. Provider business mailing address

121 N LAST CHANCE GULCH ST SUITE # E
HELENA MT
59601-4159
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-5526
  • Fax: 406-442-4034
Mailing address:
  • Phone: 406-443-5526
  • Fax: 406-442-4034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID HARRIS KIESLING
Title or Position: DENTIST
Credential: D.D.S.
Phone: 406-443-5526