MEDICARE: MOUNTAIN VIEW PEDIATRIC DENTISTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1477385722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN VIEW PEDIATRIC DENTISTRY

Provider Business Mailing Address
First Line	:	1600 9TH ST S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4510
Country	:	US
Telephone Number	:	406-205-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 9TH ST S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4510
Country	:	US
Telephone Number	:	406-205-1900
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	RICHARD NEHRING
Credential	:
Telephone Number	:	971-226-5767

Provider Enumeration Date	:	08/15/2024
Last Update Date	:	08/15/2024

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Directions to “MOUNTAIN VIEW PEDIATRIC DENTISTRY ” Practice Location

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