MEDICARE: BIG HEART FAMILY DENTISTRY, PLLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1497386973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIG HEART FAMILY DENTISTRY, PLLC

Provider Business Mailing Address
First Line	:	1250 BURNS WAY STE 2
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3140
Country	:	US
Telephone Number	:	406-752-6776
Fax Number	:	406-752-6771

Provider Business Practice Location Address
First Line	:	1250 BURNS WAY STE 2
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3140
Country	:	US
Telephone Number	:	406-752-6776
Fax Number	:	406-752-6771

Authorized Official
Title or Position	:	OWNER
Name	:	SETH HINCKLEY
Credential	:	DMD
Telephone Number	:	406-752-6776

Provider Enumeration Date	:	02/03/2020
Last Update Date	:	04/16/2026

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