MEDICARE: CARRIEANN ELKIN DDS

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	DEN-DEN-LIC-2003	MT
2	1223G0001X	General Practice Dentistry	2003	MT

General Provider Information

NPI Number	:	1952405995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIEANN ELKIN DDS

Provider Business Mailing Address
First Line	:	2500 BOBCAT WAY
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-5169
Country	:	US
Telephone Number	:	406-452-3003
Fax Number	:	406-452-1288

Provider Business Practice Location Address
First Line	:	2500 BOBCAT WAY
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-5169
Country	:	US
Telephone Number	:	406-452-3003
Fax Number	:	406-452-1288

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

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	03/19/2025

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