Provider Demographics
NPI:1104221118
Name:ORME FAMILY DENTISTRY
Entity Type:Organization
Organization Name:ORME FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ORME
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:406-683-2550
Mailing Address - Street 1:35 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-3323
Mailing Address - Country:US
Mailing Address - Phone:406-683-2550
Mailing Address - Fax:406-683-2602
Practice Address - Street 1:35 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-3323
Practice Address - Country:US
Practice Address - Phone:406-683-2550
Practice Address - Fax:406-683-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-03
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7811122300000X
MT2247122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty