STATE OF MONTANA NPI 1912120817

NPI Information

STATE OF MONTANA is an oral and maxillofacial surgery clinic center in Helena, MT. The provider is an oral and maxillofacial surgery clinic or center 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. STATE OF MONTANA NPI is 1912120817. The provider is registered as an organization entity type.
The provider Other Name Is Children's Special Health Services.

The provider's business location address is:

1400 BROADWAY RM A116
HELENA, MT
ZIP 59620
Phone: (406) 444-3529
Fax: (406) 444-2750

The provider's authorized official is Michele S O'donnell .
The authorized official title is Billing Agent and has the following contact phone number (406) 444-3529.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 1/25/2011.

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:

Other Identifiers

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