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NPI 1336288455

IndividualActive

Benjamin Bushnell

NPI 1336288455 · Dentist · Lakeside, MT

Provider details

NPI number: 1336288455
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Male
Sole proprietor: No
License: 2127 (MT)

Specialties & taxonomies

DentistPrimary122300000XLicense 2127 (MT)
Dental Providers

Practice location

150 Bills Rd

Lakeside, MT 59922

Phone: (406) 844-3825

Fax: (406) 844-3972

Approximate (ZIP-level) locationGet directions

More MT providers

Mailing address

Po Box 302

Lakeside, MT 59922

Registry dates

Enumerated: 2007-02-05
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Benjamin Bushnell — NPI 1336288455, Lakeside, MT | NPI Central