The Vine Kids Dental

LBN: The Vine Kids Dental
The Vine Kids Dental is an health care organization with primary practice located at 120 N 7Th Ave , Bozeman MT 59715-3304. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. The Vine Kids Dental can be contacted via phone (406) 404-8463, or through Yochim, Ji Min via phone (406) 404-8463.

Contact Information

Primary practice address
120 N 7Th Ave Bozeman MT 59715-3304
Phone: (406) 404-8463
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yochim, Ji Min Doctor of Dental Medicine (DMD)
Phone: (406) 404-8463

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1073073268
LBN Legal business name The Vine Kids Dental
DBA Doing business as
Authorized official Yochim, Ji Min Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2019
Last updated Mar 22nd, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073073268 NPPES
Montana MEDICAID 1578899886

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