Provider Demographics
NPI:1083839500
Name:READ, MINNETTE ALDEEN (RDH)
Entity type:Individual
Prefix:MRS
First Name:MINNETTE
Middle Name:ALDEEN
Last Name:READ
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CAMELOT CT APT 2
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-8691
Mailing Address - Country:US
Mailing Address - Phone:406-728-8508
Mailing Address - Fax:
Practice Address - Street 1:CURRY HEALTH CENTER DENTAL CLINIC
Practice Address - Street 2:634 EDDY AVE
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59812-1851
Practice Address - Country:US
Practice Address - Phone:406-243-5445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1063124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist