Provider Demographics
NPI:1649325986
Name:NATHAN L. AHLERS, D.D.S., P.C.
Entity type:Organization
Organization Name:NATHAN L. AHLERS, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:AHLERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:406-443-6464
Mailing Address - Street 1:227 W LYNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-2825
Mailing Address - Country:US
Mailing Address - Phone:406-443-6464
Mailing Address - Fax:406-443-0465
Practice Address - Street 1:227 W LYNDALE AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-2825
Practice Address - Country:US
Practice Address - Phone:406-443-6464
Practice Address - Fax:406-443-0465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2084122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT111452Medicaid