Dr. Jack Leroy Dustin , DMD
Dentist - General Practice • Great Falls, MT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Dustin has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jack Dustin, DMD was a registered Dentist - General Practice practicing in Great Falls, MT. Throughout an active medical career spanning 11 years, Dr. Dustin provided care at the practice location at 3511 1ST AVE N until profile deactivation on 2018-06-18.
Practice Location & Contact Primary Location
3511 1st Ave N
Great Falls, MT 594013504
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Great Falls, MT
Practicing in Great Falls, MT (489 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapist
PHYSICALTHERAPIST
Physical Therapist
Physical Therapist
Physician Assistant - Medical
Physician Assistant (Certified)
Massage Therapist
Licensed Massage Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 18, 2018
NPI status registered as active in NPPES database
Registered at 3511 1ST AVE N, GREAT FALLS, MT 594013504 (Tel: 4067610688)
Registered at 3511 1ST AVE N, GREAT FALLS, MT 594013504 (Tel: 4067610688)
Recorded as JACK DUSTIN, D.M.D.
Dentist (License #1383 in MT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3511 1st Ave N
Great Falls, MT 594013504
Phone: 4067610688
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