Provider Demographics
NPI:1144798604
Name:BILLINGS ORTHODONTICS, PLLC
Entity Type:Organization
Organization Name:BILLINGS ORTHODONTICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:CHAD
Authorized Official - Last Name:LAMBOURNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-245-4414
Mailing Address - Street 1:152 S 32ND ST W STE A
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6875
Mailing Address - Country:US
Mailing Address - Phone:406-245-4414
Mailing Address - Fax:
Practice Address - Street 1:805 S 4J RD
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-4132
Practice Address - Country:US
Practice Address - Phone:307-686-5665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty