Provider Demographics
NPI:1649489329
Name:MAST, CHRISTOPHER ASHTON (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ASHTON
Last Name:MAST
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 W 14TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3386
Mailing Address - Country:US
Mailing Address - Phone:406-458-0003
Mailing Address - Fax:406-458-0400
Practice Address - Street 1:55 W 14TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3386
Practice Address - Country:US
Practice Address - Phone:406-458-0003
Practice Address - Fax:406-458-0400
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT21141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice