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Dr. Terry Klise, DDS
General Practice Dentistry in Missoula, Montana
NPI 1912921594

Terry Klise is a General Practice Dentistry based in Missoula, MT and is specialized in General Practice. Terry Klise practices in Missoula, MT and has the professional credentials of DDS. The NPI Number for Terry Klise is 1912921594 and holds a License No. 2229 (Montana).

The current practice location address for Terry Klise is 2603 Deer Canyon Ct, Missoula, MT and can be reached out via phone at 406-529-2612 and via fax at 406-721-1126. You can also correspond with Terry Klise through the mailing address at 2603 DEER CANYON CT, MISSOULA, MT - 59808-8638 (mailing address contact number: 406-529-2612).

Location: 2603 Deer Canyon Ct, Missoula, MT, 59808-8638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912921594
Provider Name
Terry Klise
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2603 Deer Canyon Ct, Missoula, MT, 59808-8638
Phone Number
406-529-2612
Fax Number
406-721-1126
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200317590 05 IN
institution
Provider Business Practice Location Address Details
Address
2603 Deer Canyon Ct
City
Missoula
State
Montana
Zip
59808-8638
Phone Number
406-529-2612
Fax Number
406-721-1126
person
Provider Business Mailing Address Details
Address
2603 Deer Canyon Ct
City
Missoula
State
Montana
Zip
59808-8638
Phone Number
406-529-2612
Fax Number
406-721-1126
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
2229 (Montana)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2229 (Montana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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