NPI 1710652938
Kalispell Oral Surgery Center LLC
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
Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery Clinic/Center
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.