NPI 1457573727

Brian Robert Chisdak, MDDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Bozeman, MT

Practice location

Address: 1994 Stadium Dr., Bozeman, MT 59715
Phone: (406) 587-0767
Fax: (406) 587-2120

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 9512 (MT)

Other Oral & Maxillofacial Surgery providers in Montana →

Registry record

NPI: 1457573727
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2007
Record last updated: 8 Jul 2007

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.