institution
State Of Montana
Oral and Maxillofacial Surgery Clinic/Center in Helena, Montana
NPI 1912120817

State Of Montana is a Oral and Maxillofacial Surgery Clinic/Center based in Helena, MT and is specialized in Oral and Maxillofacial Surgery. State Of Montana practices in Helena, MT. The NPI Number for State Of Montana is 1912120817 and holds a License No. (Montana).

The current practice location address for State Of Montana is 1400 Broadway Rm A116, Helena, MT and can be reached out via phone at 406-444-3529 and via fax at 406-444-2750.

Location: 1400 Broadway Rm A116, Helena, MT, 59620-2951
institution
Provider Profile Details
NPI Number
1912120817
Provider Name
State Of Montana
Credential
Provider Entity Type
Organization
Address
1400 Broadway Rm A116, Helena, MT, 59620-2951
Phone Number
406-444-3529
Fax Number
406-444-2750
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92046 01 MT BLUE CROSS BLUE SHIELD OF MONTANA
92056 01 MT BLUE CROSS BLUE SHELD OF MONTANA
0260000 05 MT
99248 01 MT BLUE CROSS BLUE SHIELD OF MONTANA
institution
Provider Business Practice Location Address Details
Address
1400 Broadway Rm A116
City
State
Zip
59620
Phone Number
406-444-3529
Fax Number
406-444-2750
person
Provider Business Mailing Address Details
Address
1400 Broadway Rm A116
City
State
Zip
59620
Phone Number
406-444-3529
Fax Number
406-444-2750
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
(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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