SMILE MISSOULA PC NPI 1225306749

NPI Information

SMILE MISSOULA PC is a general practice dentist in Missoula, MT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMILE MISSOULA PC NPI is 1225306749. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

237 SW HIGGINS AVE
STE C
MISSOULA, MT
ZIP 59803-485
Phone: (406) 721-2830

The provider's authorized official is George M. Olsen .
The authorized official title is President and has the following contact phone number (406) 721-2830.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 2/24/2012.

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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