Provider Demographics
NPI:1821684499
Name:HELENA ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:HELENA ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:406-442-0288
Mailing Address - Street 1:900 N LAST CHANCE GULCH STE 101
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3415
Mailing Address - Country:US
Mailing Address - Phone:406-442-0288
Mailing Address - Fax:
Practice Address - Street 1:900 N LAST CHANCE GULCH STE 101
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3415
Practice Address - Country:US
Practice Address - Phone:406-442-0288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty