Provider Demographics
NPI:1821981473
Name:DR. MICHAEL R. WINDAUER, DMD, PC
Entity type:Organization
Organization Name:DR. MICHAEL R. WINDAUER, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:WINDAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-883-1343
Mailing Address - Street 1:421 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:POLSON
Mailing Address - State:MT
Mailing Address - Zip Code:59860-2123
Mailing Address - Country:US
Mailing Address - Phone:406-883-1343
Mailing Address - Fax:406-883-3550
Practice Address - Street 1:421 MAIN ST
Practice Address - Street 2:
Practice Address - City:POLSON
Practice Address - State:MT
Practice Address - Zip Code:59860-2123
Practice Address - Country:US
Practice Address - Phone:068-883-1343
Practice Address - Fax:406-883-3550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty