Provider Demographics
NPI:1164844833
Name:YERGER FAMILY DENTAL, PC
Entity Type:Organization
Organization Name:YERGER FAMILY DENTAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:YERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:406-232-2214
Mailing Address - Street 1:2904 MALLET LN
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301
Mailing Address - Country:US
Mailing Address - Phone:406-232-2214
Mailing Address - Fax:
Practice Address - Street 1:2904 MALLET LN
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301
Practice Address - Country:US
Practice Address - Phone:406-233-1241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-14
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty