Terry Klise in Missoula - Dentist Anesthesiologist
Terry Klise - NPI 1912921594
Terry Klise is a Dentist Anesthesiologist in Missoula, Montana. Terry Klise practices all healthcare services and medical treatments related to Dentist Anesthesiologist. The NPI Number for Terry Klise is 1912921594. The last update date is 2016-07-28.
Terry Klise's current location address is 2603 Deer Canyon Ct, Missoula, Montana. You can contact this provider via phone number 4065292612 and fax number 4067211126. The mailing address for Terry Klise is 2603 Deer Canyon Ct, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Klise |
|---|---|
| Address | 2603 Deer Canyon Ct, Missoula, Montana |
| Phone Number | 4065292612 |
| Fax Number | 4067211126 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1912921594 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2016-07-28 |
Provider Mailing Address Detail
| Address | 2603 Deer Canyon Ct |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598088638 |
| Phone Number | 4065292612 |
| Fax Number | 4067211126 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist Anesthesiologist |
|---|---|
| Taxonomy | 1223D0004X |
| Licence No | 2229 |
|
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 Residenc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200317590 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Terry Klise by the Centers for Medicare & Medicaid Services?
The Terry Klise has been assigned the NPI (National Provider Identifier) 1912921594 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Terry Klise?
The Terry Klise is situated at 2603 Deer Canyon Ct, in the city of Missoula, state of MT, with the zip code 598088638.
What is the Terry Klise's area of specialization and corresponding taxonomy classification?
The Terry Klise's specialty field is Dentist Anesthesiologist, and it falls under the taxonomy code 1223D0004X, which categorizes healthcare providers based on their specialties.
When did Terry Klise receive its 1912921594 assignment?
The Terry Klise was assigned its 1912921594 on 2006-07-27, which is the date when this unique identifier was issued to the organization.
When was the information regarding Terry Klise most recently updated?
The details pertaining to the Terry Klise, including its address, specialty, and other relevant information, were last refreshed on 2016-07-28.
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