Facial Plastic & Reconstructive Surgery Montana Pc in Missoula - Oral And Maxillofacial Surgery

Facial Plastic & Reconstructive Surgery Montana Pc - NPI 1134286883

Facial Plastic & Reconstructive Surgery Montana Pc is a Oral And Maxillofacial Surgery in Missoula, Montana. Facial Plastic & Reconstructive Surgery Montana Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Facial Plastic & Reconstructive Surgery Montana Pc is 1134286883. The last update date is 2011-03-30.

Facial Plastic & Reconstructive Surgery Montana Pc's current location address is 805 S Reserve St, Missoula, Montana. You can contact this provider via phone number 4065496600 and fax number 4065491511. The mailing address for Facial Plastic & Reconstructive Surgery Montana Pc is 805 S Reserve St, Missoula, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Facial Plastic & Reconstructive Surgery Montana Pc
Address 805 S Reserve St, Missoula, Montana
Phone Number 4065496600
Fax Number 4065491511
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Taylor O Clark
Credentials MD DDS
Telephone Number 4065496600

NPI Number Detail

NPI Number 1134286883
Provider Enumeration Date 2007-01-02
Last Updated Date 2011-03-30

Provider Mailing Address Detail

Address 805 S Reserve St
City Missoula
State Montana (MT)
Post Code 598012104
Phone Number 4065496600
Fax Number 4065491511

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 261Qs0112X
Licence No 11479
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Facial Plastic & Reconstructive Surgery Montana Pc

What is the unique identifier code issued to Facial Plastic & Reconstructive Surgery Montana Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Facial Plastic & Reconstructive Surgery Montana Pc has been assigned the NPI (National Provider Identifier) 1134286883. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Facial Plastic & Reconstructive Surgery Montana Pc is physically located?

The Facial Plastic & Reconstructive Surgery Montana Pc is physically situated at the following address: 805 S Reserve St, Missoula, MT, 598012104.

What is Facial Plastic & Reconstructive Surgery Montana Pc's area of expertise and its corresponding taxonomy classification?

The Facial Plastic & Reconstructive Surgery Montana Pc's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 261Qs0112X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1134286883 assigned to Facial Plastic & Reconstructive Surgery Montana Pc?

The Facial Plastic & Reconstructive Surgery Montana Pc was issued its 1134286883 on 2007-01-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Facial Plastic & Reconstructive Surgery Montana Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Facial Plastic & Reconstructive Surgery Montana Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-30.

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