Provider Demographics
NPI:1043598964
Name:ERIN C PRICE DMD PC
Entity Type:Organization
Organization Name:ERIN C PRICE DMD PC
Other - Org Name:BIGFORK DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:CARLSON
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:406-431-2722
Mailing Address - Street 1:8289 MT HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-3518
Mailing Address - Country:US
Mailing Address - Phone:406-837-5611
Mailing Address - Fax:
Practice Address - Street 1:8289 MT HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:BIGFORK
Practice Address - State:MT
Practice Address - Zip Code:59911-3518
Practice Address - Country:US
Practice Address - Phone:406-837-5611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2370122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty