Provider Demographics
NPI:1235772096
Name:AYE FAMILY DENTISTRY, INC
Entity Type:Organization
Organization Name:AYE FAMILY DENTISTRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:AYE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:406-874-9637
Mailing Address - Street 1:520 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-3019
Mailing Address - Country:US
Mailing Address - Phone:406-874-9637
Mailing Address - Fax:406-874-0215
Practice Address - Street 1:520 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-3019
Practice Address - Country:US
Practice Address - Phone:406-874-9637
Practice Address - Fax:406-874-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT7307739Medicaid