MEDICARE: RANEY HATTEN RDH

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	124Q00000X	Dental Hygienist	DEN-RDH-LIC-17444	MT

General Provider Information

NPI Number	:	1790555423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANEY HATTEN RDH

Provider Business Mailing Address
First Line	:	22 MAPLE ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-7697
Country	:	US
Telephone Number	:	406-371-1958
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 SAMPSON ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-3208
Country	:	US
Telephone Number	:	406-565-4458
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2024
Last Update Date	:	01/04/2024

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Directions to “ RANEY HATTEN RDH” Practice Location

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