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General NPI Number Information
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NPI Number | 1861362048
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Entity Type | Organization
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Legal Business Name | WINDAUER FAMILY DENTISTRY PLLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 421 MAIN ST
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City | POLSON
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State | MT
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Zip | 59860-2123
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Country | US
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Telephone | 406-883-1343
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Fax | 406-883-3550
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Provider Business Mailing Address
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Address Line | 421 MAIN ST
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City | POLSON
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State | MT
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Zip | 59860-2123
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Country | US
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Telephone | 406-883-1343
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Fax | 406-883-3550
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SANDRA PEASLEY
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Credential |
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Telephone | 406-883-1343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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