KALISPELL ORAL SURGERY CENTER LLC; NPI #1710652938

Contact Information

KALISPELL ORAL SURGERY CENTER LLC

180 TIMBERWOLF PKWY
KALISPELL, MT 59901-1218

Phone: 406-755-6014
Fax: 406-755-6094
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery
Oral and Maxillofacial Surgery	261QS0112X
Oral and Maxillofacial Surgery	1223S0112X	19	Oral Surgery (Dentist only)

Indicates primary specialty

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NPI Profile & details for KALISPELL ORAL SURGERY CENTER LLC

NPI #	`1710652938`
LBN Legal business name	KALISPELL ORAL SURGERY CENTER LLC
Authorized official	JOSHUA BLANTON-DICKENS - (MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/10/2021
Last updated	08/10/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KALISPELL ORAL SURGERY CENTER LLC

Contact Information

Specialty

Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery

Oral and Maxillofacial Surgery

NPI Profile & details for KALISPELL ORAL SURGERY CENTER LLC

Reviews for KALISPELL ORAL SURGERY CENTER LLC