SMILE MISSOULA PC NPI 1225306749

NPI Information

  • NPI: 1225306749
  • Provider Name: SMILE MISSOULA PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 237 SW HIGGINS AVE
    STE C
    MISSOULA, MT
    ZIP 59803
  • Phone: (406) 721-2830

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2474MONTANANo
21223G0001XDentistGeneral Practice1424MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15511480OTHERMONTANACHIP
21101-62MEDICAIDMONTANA

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: 11/21/2025

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