Whalio Doctors

NPI 1710652938

Kalispell Oral Surgery Center LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Kalispell, MT

Practice location

Address
180 Timberwolf Pkwy, Kalispell, MT 59901-1218
Phone
(406) 755-6014
Fax
(406) 755-6094

Authorised official

Name
Joshua Blanton-Dickens
Title
Member
Phone
(406) 755-6014

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X
Oral and Maxillofacial Surgery Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QS0112X

Registry record

NPI
1710652938
Entity type
Organization
NPI issued
10 Aug 2021
Record last updated
10 Aug 2021

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.