Provider Demographics
NPI:1144638685
Name:BOLLINGER, CLAIRE M (DDS)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:M
Last Name:BOLLINGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:302 2ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-4157
Mailing Address - Country:US
Mailing Address - Phone:701-252-1661
Mailing Address - Fax:701-251-9128
Practice Address - Street 1:2900 CENTRAL AVE BLDG 2
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-8626
Practice Address - Country:US
Practice Address - Phone:406-656-6100
Practice Address - Fax:406-281-8025
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND22211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice