1346276011 NPI number — DR. RICHARD B TROYER DDS

Table of content: DR. RICHARD B TROYER DDS (NPI 1346276011)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346276011 NPI number — DR. RICHARD B TROYER DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TROYER
Provider First Name:
RICHARD
Provider Middle Name:
B
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346276011
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
703 NORTH CODY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARDIN
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-665-1607
Provider Business Mailing Address Fax Number:
406-638-3332

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1010 SOUTH 7950 EAST
Provider Second Line Business Practice Location Address:
CROW NORTHERN CHEYENNE INDIAN HOSPITAL
Provider Business Practice Location Address City Name:
CROW AGENCY
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-638-3500
Provider Business Practice Location Address Fax Number:
406-638-3569
Provider Enumeration Date:
06/24/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  DE00005878 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)