Organization · Type 2 NPI

Northern Montana Oral / Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Great Falls, MT

NPI number 1962671370 Active

Practice location

2714 15th Ave S
Great Falls, MT 59405-5246

Fax (406) 771-1516

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1907 (MT)

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 1962671370

Northern Montana Oral / Maxillofacial Surgery's National Provider Identifier is 1962671370, issued on Feb 29, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Great Falls, MT. The record was last updated on May 12, 2009.