Provider Demographics
NPI:1184295230
Name:ERLER, AUSTIN SCOTT (DMD)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:SCOTT
Last Name:ERLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 SW HIGGINS AVE STE M
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1430
Mailing Address - Country:US
Mailing Address - Phone:406-721-1067
Mailing Address - Fax:406-721-6149
Practice Address - Street 1:619 SW HIGGINS AVE STE M
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1430
Practice Address - Country:US
Practice Address - Phone:406-721-1067
Practice Address - Fax:406-721-6149
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTDEN-DEN-LIC-214951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice