FACIAL PLASTIC & RECONSTRUCTIVE SURGERY MONTANA PC NPI 1134286883

NPI Information

FACIAL PLASTIC & RECONSTRUCTIVE SURGERY MONTANA PC is an oral and maxillofacial surgery clinic center in Missoula, MT. The provider is 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. FACIAL PLASTIC & RECONSTRUCTIVE SURGERY MONTANA PC NPI is 1134286883. The provider is registered as an organization entity type.
The provider Is Doing Business As Cosmetic Surgical Arts Centre, Institute Of Facial Surgery.

The provider's business location address is:

805 S RESERVE ST
MISSOULA, MT
ZIP 59801-104
Phone: (406) 549-6600
Fax: (406) 549-1511

The provider's authorized official is Clark O Taylor .
The authorized official title is Director Owner and has the following contact phone number (406) 549-6600.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 3/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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