National Provider Identifier Database

BRIAN R CHISDAK, MD, DMD – NPI #1457573727
Oral & Maxillofacial Surgery


Contact Information

BRIAN R CHISDAK, MD, DMD
1994 STADIUM DR.
BOZEMAN, MT59715
Phone: 406-587-0767
Fax: 406-587-2120
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X

* Indicates primary specialty

NPI Profile & details for BRIAN R CHISDAK

NPI Number 1457573727
Credentials MD, DMD
Entity Individual
Enumeration date 05/03/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • MT License #: 9512
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BRIAN R CHISDAK, MD, DMD

There are currently no reviews for BRIAN R CHISDAK, MD, DMD


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