Individual provider · Type 1 NPI
Grant Matthew Wiswell, MD, DDS
Dentist · Missoula, MT
Practice location
3020 S Reserve St Ste C
Missoula, MT 59801-7652
Fax (406) 541-2188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 12707 (MT) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2433 (MT) |
| Dentist Primary | 122300000X | 2433 (MT) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1497917132
Grant Matthew Wiswell, MD, DDS's National Provider Identifier is 1497917132, issued on Jun 25, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Missoula, MT. The record was last updated on Oct 7, 2025.