NPI 1043373012

Glacier Oral and Maxillofacial Surgery PC

Organisation Oral and Maxillofacial Surgery Clinic/Center Whitefish, MT

Practice location

Address: 711 13th Str E STE 101, Whitefish, MT 59937
Phone: (406) 862-5656
Fax: (406) 862-6155

Authorised official

Name: Bernadette L Wilson
Title: President
Phone: (406) 862-5656

Registered specialties

Oral and Maxillofacial Surgery Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QS0112X Licence 11198 (MT)

Other Clinic/Center providers in Montana →

Registry record

NPI: 1043373012
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.