Individual provider · Type 1 NPI

Christopher Ryan Wallis, DDS

Oral and Maxillofacial Surgery (Dentist) · Bozeman, MT

NPI number 1497901995 Active

Practice location

1125 W Kagy Blvd, Suite 201
Bozeman, MT 59715-5881

Fax (406) 587-1988

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X11503 (MT)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X30.022811 (OH)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1497901995

Christopher Ryan Wallis, DDS's National Provider Identifier is 1497901995, issued on Aug 15, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bozeman, MT. The record was last updated on Jul 22, 2016.