MAKENZIE BAGNELL, DDS

Dentist

Active Individual
NPI: 1104574599

Practice Address

33 DOC KIMBALL WAY
Bigfork, MT 59911

Phone: (406) 614-2020

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Dentist 122300000X Yes DEN-DEN-LIC-23639 (MT)

Frequently Asked Questions

NPI 1104574599 is the National Provider Identifier for MAKENZIE BAGNELL, DDS, a Dentist provider located in Bigfork, MT. This NPI was enumerated on March 14, 2022.
MAKENZIE BAGNELL, DDS practices at 33 DOC KIMBALL WAY, Bigfork, MT 59911.

Quick Facts

NPI
1104574599
Type
Individual
Enumerated
Mar 14, 2022
Last Updated
Oct 10, 2024

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