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BIG SKY ORAL & FACIAL SURGERY NPI 1710523725


NPI Information

NPI: 1710523725
Provider Name: BIG SKY ORAL & FACIAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1125 W KAGY BLVD STE 201
BOZEMAN, MT
ZIP 59715
Phone: (406) 585-1120
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BIG SKY ORAL & FACIAL SURGERY is an oral and maxillofacial surgery dentist in Bozeman, MT. The provider is an oral and maxillofacial surgery dentist specialized in 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. BIG SKY ORAL & FACIAL SURGERY NPI is 1710523725. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1125 W KAGY BLVD STE 201
BOZEMAN, MT
ZIP 59715-879
Phone: (406) 585-1120
Fax: (406) 587-1988

The provider's authorized official is Christopher Ryan Wallis .
The authorized official title is Owner and has the following contact phone number (406) 585-1120.

The enumeration date for this NPI number is 11/25/2019 and was last updated on 11/25/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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