Provider Demographics
NPI:1497889273
Name:RATTLER, JULIEANN NATHELLE (BSDH)
Entity type:Individual
Prefix:
First Name:JULIEANN
Middle Name:NATHELLE
Last Name:RATTLER
Suffix:
Gender:F
Credentials:BSDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:BLACKFEET COMMUNITY HOSPITAL DENTAL CLINIC
Mailing Address - City:BROWNING
Mailing Address - State:MT
Mailing Address - Zip Code:59417-0760
Mailing Address - Country:US
Mailing Address - Phone:406-338-6180
Mailing Address - Fax:406-338-6184
Practice Address - Street 1:760 HOSPITAL CIRCLE
Practice Address - Street 2:BLACKFEET COMMUNITY HOSPITAL DENTAL CLINIC
Practice Address - City:BROWNING
Practice Address - State:MT
Practice Address - Zip Code:59417-0760
Practice Address - Country:US
Practice Address - Phone:406-338-6180
Practice Address - Fax:406-338-6184
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT372124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist