Provider Demographics
NPI:1134211709
Name:JANECKE, DENNIS E (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:E
Last Name:JANECKE
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 1:238 S IDAHO ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-1614
Mailing Address - Country:US
Mailing Address - Phone:406-498-7191
Mailing Address - Fax:406-723-3059
Practice Address - Street 1:238 S IDAHO ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1614
Practice Address - Country:US
Practice Address - Phone:406-498-7191
Practice Address - Fax:406-723-3059
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT22081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice