Provider Demographics
NPI:1497386973
Name:BIG HEART FAMILY DENTISTRY, PLLC
Entity Type:Organization
Organization Name:BIG HEART FAMILY DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HINCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:406-752-6776
Mailing Address - Street 1:1250 BURNS WAY STE 2
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3140
Mailing Address - Country:US
Mailing Address - Phone:406-752-6776
Mailing Address - Fax:406-752-6771
Practice Address - Street 1:1250 BURNS WAY STE 2
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3140
Practice Address - Country:US
Practice Address - Phone:406-752-6776
Practice Address - Fax:406-752-6771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental