Provider Demographics
NPI:1003239732
Name:LEHNHARDT, JENNIFER ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANN
Last Name:LEHNHARDT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3997 VALLEY COMMONS DR STE A
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-5617
Mailing Address - Country:US
Mailing Address - Phone:406-404-1186
Mailing Address - Fax:
Practice Address - Street 1:103 W JEFFERSON AVE STE A
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-4419
Practice Address - Country:US
Practice Address - Phone:406-388-3005
Practice Address - Fax:406-388-4265
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA639151223S0112X
MT174091223S0112X
MTDEN-DEN-LIC-174091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1003239732Medicaid