Provider Demographics
NPI:1922813427
Name:BRONEC, DAKOTAH (RD)
Entity type:Individual
Prefix:
First Name:DAKOTAH
Middle Name:
Last Name:BRONEC
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:DAKOTAH
Other - Middle Name:
Other - Last Name:DORWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:400 13TH AVE S FL 1
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-4300
Mailing Address - Country:US
Mailing Address - Phone:406-731-8385
Mailing Address - Fax:
Practice Address - Street 1:400 13TH AVE S FL 1
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-4300
Practice Address - Country:US
Practice Address - Phone:406-731-8385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-NUTR-LIC-50518133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered