Tom Richard Lidahl is a Plentywood, Montana based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Tom Richard Lidahl is D10463 for Dentistry in Minnesota. His current practice location is 223 N Main St, Plentywood. Patients can reach him at 406-765-2700.
Tom Richard Lidahl is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Tom Richard Lidahl speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Tom Richard Lidahl
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
223 N Main St, Plentywood, Montana, 59254-1843
Phone:
406-765-2700
Fax:
406-765-1514
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1720081201
NPI Enumeration Date:
27 May, 2005
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tom Richard Lidahl are as mentioned below.
License Number
Specialization
State
Status
D10463
Dentistry
Minnesota
Primary
1327
General Practice Dentistry
Montana
Secondary
D10463
Dentistry
Minnesota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Tom Richard Lidahl such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
13274
Other
Montana
BCBS PROVIDER NUMBER
5510244
Other
Montana
CHIP PROVIDER NUMBER
991068
Other
North Dakota
BCBS PROVIDER NUMBER
0116792
Medicaid
Montana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
223 N Main St, Plentywood, Montana
Zip:
59254-1843
Phone Number:
406-765-2700
Fax Number:
406-765-1514
Patients can reach Tom Richard Lidahl at 223 N Main St, Plentywood, Montana or can call to book an appointment on 406-765-2700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.