Organization · Type 2 NPI
Glacier Oral and Maxillofacial Surgery PC
Oral and Maxillofacial Surgery Clinic/Center · Whitefish, MT
NPI number
1043373012
Active
Practice location
711 13th Str E, Ste 101
Whitefish, MT 59937
Fax (406) 862-6155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 11198 (MT) |
Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1043373012
Glacier Oral and Maxillofacial Surgery PC's National Provider Identifier is 1043373012, issued on Dec 19, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Whitefish, MT. The record was last updated on Mar 7, 2023.