Provider Demographics
NPI:1811417942
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 1:1274 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-3042
Practice Address - Country:US
Practice Address - Phone:307-673-4452
Practice Address - Fax:307-333-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY14591223X0400X
WY13991223X0400X
WY13951223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty