OrganizationActive
Whitefish Dermatology LLC
NPI 1336499680 · Dermatology Physician · Whitefish, MT
Provider details
- NPI number
- 1336499680
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tina Pynes, Office Manager/Part Owner(334) 791-2708
- License
- 12763 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 Baker Ave
Whitefish, MT 59937-2499
Phone: (406) 862-7546
Street-level locationGet directions
Mailing address
Po Box 640
Whitefish, MT 59937-0640
Registry dates
- Enumerated
- 2012-09-13
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.