NPI 1689745804

Clark O Taylor, MDDDS

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

Practice location

Address: 805 S Reserve St, Missoula, MT 59801-2104
Phone: (406) 549-6600

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 7822 (MT)

Other Oral & Maxillofacial Surgery providers in Montana →

Registry record

NPI: 1689745804
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2006
Record last updated: 30 Mar 2011

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.