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General NPI Number Information
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NPI Number | 1023946472
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Entity Type | Organization
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Legal Business Name | CAST & CROWN DENTAL PLLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 424 3RD ST
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City | HAVRE
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State | MT
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Zip | 59501-3644
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Country | US
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Telephone | 406-265-7886
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Fax |
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Provider Business Mailing Address
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Address Line | 2473 N BUNCHGRASS DR
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City | POST FALLS
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State | ID
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Zip | 83854-7025
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | TYLER KURLE
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Credential | DDS
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Telephone | 253-203-8775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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