Organization · Type 2 NPI

State of Montana

Oral and Maxillofacial Surgery Clinic/Center · Helena, MT

NPI number 1366748147 Active

Practice location

1400 Broadway Rm A116
Helena, MT 59620

Fax (406) 444-2750

Mailing address

PO Box 202951
Helena, MT 59620-2951

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XNone listed

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

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About NPI 1366748147

State of Montana's National Provider Identifier is 1366748147, issued on Jan 27, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Helena, MT. The record was last updated on Jan 27, 2011.