BRIAN R CHISDAK, MD, DMD BOZEMAN, MT

Contact Information

BRIAN R CHISDAK, MD, DMD

1994 STADIUM DR.
BOZEMAN, MT 59715

Phone: 406-587-0767
Fax: 406-587-2120
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for BRIAN R CHISDAK · (Male)

NPI #	`1457573727`
Status	Active
Credentials	MD, DMD
Entity	Individual
Enumeration date	05/03/2007
Last updated	07/08/2007 - About 19 years ago
Sole proprietor ¹	Yes
Identifiers	MT License # 9512
Hospital affiliation(s)	Not Available

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.

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

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for BRIAN R CHISDAK · (Male)

Reviews for BRIAN R CHISDAK

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