Provider Demographics
NPI:1235527607
Name:HILARY L FRITSCH DMD INC
Entity Type:Organization
Organization Name:HILARY L FRITSCH DMD INC
Other - Org Name:SADDLE PEAK DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:FRITSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-777-5473
Mailing Address - Street 1:108 N 11TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3264
Mailing Address - Country:US
Mailing Address - Phone:406-898-2772
Mailing Address - Fax:
Practice Address - Street 1:108 N 11TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3264
Practice Address - Country:US
Practice Address - Phone:406-898-2772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1700085107OtherTYPE 1 NPI: