Provider Demographics
NPI:1063433985
Name:BONE, SVEN ERIK (DDS MS)
Entity type:Individual
Prefix:
First Name:SVEN
Middle Name:ERIK
Last Name:BONE
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 W DICKERSON ST.
Mailing Address - Street 2:BLDG 2 STE 2
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715
Mailing Address - Country:US
Mailing Address - Phone:406-577-8221
Mailing Address - Fax:406-404-1484
Practice Address - Street 1:1805 W DICKERSON ST.
Practice Address - Street 2:BLDG 2 STE 2
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715
Practice Address - Country:US
Practice Address - Phone:406-577-8221
Practice Address - Fax:406-404-1484
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2215122300000X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist