GLACIER DENTAL GROUP PC NPI 1891830360

NPI Information

  • NPI: 1891830360
  • Provider Name: GLACIER DENTAL GROUP, PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1228 WHITEFISH STAGE
    KALISPELL, MT
    ZIP 59901
  • Phone: (406) 752-8081

Map and Directions

Get Directions

NPI Details

GLACIER DENTAL GROUP, PC is a clinic center in Kalispell, MT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GLACIER DENTAL GROUP, PC NPI is 1891830360. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1228 WHITEFISH STAGE
KALISPELL, MT
ZIP 59901-753
Phone: (406) 752-8081
Fax: (406) 752-8083

The provider's authorized official is David Keim .
The authorized official title is President and has the following contact phone number (406) 752-8081.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 2/12/2025.

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 Practice2195MONTANANo
2261Q00000XClinic/CenterYes

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
15512964OTHERMONTANABLUE CHIP
20113696MEDICAIDMONTANA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI