Individual provider · Type 1 NPI
Charles Douglas Vandyck Iii, DDS, MSD
Periodontics · Great Falls, MT
NPI number
1508915588
Active
Practice location
2601 16th Ave S
Great Falls, MT 59405-5202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 1369 (MT) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1508915588
Charles Douglas Vandyck Iii, DDS, MSD's National Provider Identifier is 1508915588, issued on Jan 9, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Great Falls, MT. The record was last updated on Jul 8, 2007.