Glacier Oral And Maxillofacial Surgery Pc in Whitefish - Oral And Maxillofacial Surgery
Glacier Oral And Maxillofacial Surgery Pc - NPI 1043373012
Glacier Oral And Maxillofacial Surgery Pc is a Oral And Maxillofacial Surgery in Whitefish, Montana. Glacier Oral And Maxillofacial Surgery Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Glacier Oral And Maxillofacial Surgery Pc is 1043373012. The last update date is 2023-03-07.
Glacier Oral And Maxillofacial Surgery Pc's current location address is 711 13th Str E, Whitefish, Montana. You can contact this provider via phone number 4068625656 and fax number 4068626155. The mailing address for Glacier Oral And Maxillofacial Surgery Pc is 711 13th Str E, Whitefish, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glacier Oral And Maxillofacial Surgery Pc |
|---|---|
| Address | 711 13th Str E, Whitefish, Montana |
| Phone Number | 4068625656 |
| Fax Number | 4068626155 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wilson L Bernadette |
| Credentials | DDS MD |
| Telephone Number | 4068625656 |
NPI Number Detail
| NPI Number | 1043373012 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 711 13th Str E |
|---|---|
| City | Whitefish |
| State | Montana (MT) |
| Post Code | 59937 |
| Phone Number | 4068625656 |
| Fax Number | 4068626155 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
| Licence No | 11198 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130186 | MT | -- | |
| 95296 | MT | BLUE CROSS BLUE SHIELD ID | |
| 2235 | MT | MONTANA DENTAL LICENSE # | |
| 11198 | MT | MONTANA MEDICAL LICENSE # |
Post Comment/ Review Below
What is the unique identifier code issued to Glacier Oral And Maxillofacial Surgery Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Glacier Oral And Maxillofacial Surgery Pc has been assigned the NPI (National Provider Identifier) 1043373012. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Glacier Oral And Maxillofacial Surgery Pc's physical address?
The Glacier Oral And Maxillofacial Surgery Pc is physically located at 711 13Th Str E, in the city of Whitefish, MT, with the postal code 59937.
What is Glacier Oral And Maxillofacial Surgery Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Glacier Oral And Maxillofacial Surgery Pc is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 261Qs0112X.
On what date did Glacier Oral And Maxillofacial Surgery Pc receive its 1043373012 assignment from the Centers for Medicare & Medicaid Services?
The Glacier Oral And Maxillofacial Surgery Pc was assigned its 1043373012 on 2006-12-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Glacier Oral And Maxillofacial Surgery Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Glacier Oral And Maxillofacial Surgery Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.