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Glacier Oral And Maxillofacial Surgery Pc
Oral and Maxillofacial Surgery Clinic/Center in Whitefish, Montana
NPI 1043373012

Glacier Oral And Maxillofacial Surgery Pc is a Oral and Maxillofacial Surgery Clinic/Center based in Whitefish, MT and is specialized in Oral and Maxillofacial Surgery. Glacier Oral And Maxillofacial Surgery Pc practices in Whitefish, MT. The NPI Number for Glacier Oral And Maxillofacial Surgery Pc is 1043373012 and holds a License No. 11198 (Montana).

The current practice location address for Glacier Oral And Maxillofacial Surgery Pc is 711 13Th Str E, Whitefish, MT and can be reached out via phone at 406-862-5656 and via fax at 406-862-6155.

Location: 711 13Th Str E, Whitefish, MT, 59937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043373012
Provider Name
Glacier Oral And Maxillofacial Surgery Pc
Credential
Provider Entity Type
Organization
Address
711 13Th Str E, Whitefish, MT, 59937
Phone Number
406-862-5656
Fax Number
406-862-6155
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0130186 05 MT
95296 01 MT BLUE CROSS BLUE SHIELD ID
2235 01 MT MONTANA DENTAL LICENSE #
11198 01 MT MONTANA MEDICAL LICENSE #
institution
Provider Business Practice Location Address Details
Address
711 13Th Str E
City
Whitefish
State
Montana
Zip
59937
Phone Number
406-862-5656
Fax Number
406-862-6155
person
Provider Business Mailing Address Details
Address
711 13Th Str E
City
Whitefish
State
Montana
Zip
59937
Phone Number
406-862-5656
Fax Number
406-862-6155
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
11198 (Montana)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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