MISSOULA ORAL SURGERY 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. MISSOULA ORAL SURGERY NPI is 1255620928. The provider is registered as an organization entity type.
The provider's business location address is:
3020 S RESERVE ST
SUITE C
MISSOULA, MT
ZIP 59801-644
Phone: (406) 552-9970
The provider's authorized official is Grant Matthew Wiswell .
The authorized official title is Owner/surgeon and has the following contact phone number (406) 552-9970.
The enumeration date for this NPI number is 4/4/2011 and was last updated on 4/4/2011.