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General NPI Number Information
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NPI Number | 1851240162
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Entity Type | Organization
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Legal Business Name | HYALITE FAMILY DENTAL PLLC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1195 STONERIDGE DR STE 1
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City | BOZEMAN
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State | MT
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Zip | 59718-7048
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Country | US
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Telephone | 406-586-4781
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Fax |
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Provider Business Mailing Address
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Address Line | 1195 STONERIDGE DR STE 1
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City | BOZEMAN
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State | MT
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Zip | 59718-7048
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Country | US
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Telephone | 406-586-4781
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DREW SMITH
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Credential | DMD
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Telephone | 206-409-2095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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