Organization · Type 2 NPI
Missoula Oral Surgery
Oral and Maxillofacial Surgery Clinic/Center · Missoula, MT
NPI number
1255620928
Active
Practice location
3020 S Reserve St, Suite C
Missoula, MT 59801-7644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 2433 (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.
2 other providers at this address
About NPI 1255620928
Missoula Oral Surgery's National Provider Identifier is 1255620928, issued on Apr 4, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Missoula, MT. The record was last updated on Apr 4, 2011.