KALISPELL ORAL SURGERY CENTER LLC NPI 1710652938

NPI Information

  • NPI: 1710652938
  • Provider Name: KALISPELL ORAL SURGERY CENTER LLC
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 180 TIMBERWOLF PKWY
    KALISPELL, MT
    ZIP 59901
  • Phone: (406) 755-6014

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NPI Details

KALISPELL ORAL SURGERY CENTER LLC is an oral maxillofacial surgery in Kalispell, MT. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. KALISPELL ORAL SURGERY CENTER LLC NPI is 1710652938. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

180 TIMBERWOLF PKWY
KALISPELL, MT
ZIP 59901-218
Phone: (406) 755-6014
Fax: (406) 755-6094

The provider's authorized official is Joshua Blanton-dickens .
The authorized official title is Member and has the following contact phone number (406) 755-6014.

The enumeration date for this NPI number is 8/10/2021 and was last updated on 8/10/2021.

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
11223S0112XDentistOral and Maxillofacial SurgeryNo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryNo
3204E00000XOral & 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: 11/21/2025

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