Provider Demographics
NPI:1255599924
Name:ROCKY MOUNTAIN IMPLANTS
Entity type:Organization
Organization Name:ROCKY MOUNTAIN IMPLANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:406-756-3435
Mailing Address - Street 1:1825 US HIGHWAY 93 S
Mailing Address - Street 2:SUITE A
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5708
Mailing Address - Country:US
Mailing Address - Phone:406-756-3435
Mailing Address - Fax:
Practice Address - Street 1:1825 US HIGHWAY 93 S
Practice Address - Street 2:SUITE A
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-5708
Practice Address - Country:US
Practice Address - Phone:406-756-3435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT18521223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty