Provider Demographics
NPI:1942686423
Name:SACRY, DENNIS K (DDS)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:K
Last Name:SACRY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:108 FIRST STREET WEST
Mailing Address - City:WHITEHALL
Mailing Address - State:MT
Mailing Address - Zip Code:59759-0549
Mailing Address - Country:US
Mailing Address - Phone:406-287-3026
Mailing Address - Fax:406-287-3014
Practice Address - Street 1:108 1ST ST W # 549
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:MT
Practice Address - Zip Code:59759-7794
Practice Address - Country:US
Practice Address - Phone:406-287-3026
Practice Address - Fax:406-287-3014
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT14021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice