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
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 11503 (MT) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 30.022811 (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.
5 other providers at this address
- Nybo and Van Kirk Dental, LLCDentist Bozeman, MT NPI 1386882876
- Jeff Moore, DPTPhysical Therapist Bozeman, MT NPI 1063661684
- Kenneth C. Van Kirk, DDSGeneral Practice Dentistry Bozeman, MT NPI 1134135825
- Leslie A. Hayes, DDSGeneral Practice Dentistry Bozeman, MT NPI 1841323219
- Norman Terrence Nybo, DDSGeneral Practice Dentistry Bozeman, MT NPI 1043245475
Other oral and maxillofacial surgery (dentist) providers in Bozeman
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.