SOUTHWESTERN MONTANA ORAL AND MAXILLOFACIAL SURGERY LLC NPI 1952974594

NPI Information

SOUTHWESTERN MONTANA ORAL AND MAXILLOFACIAL SURGERY LLC is an oral and maxillofacial surgery dentist in Anaconda, MT. The provider is an oral and maxillofacial surgery dentist 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. SOUTHWESTERN MONTANA ORAL AND MAXILLOFACIAL SURGERY LLC NPI is 1952974594. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

307 E PARK AVE
ANACONDA, MT
ZIP 59711-320
Phone: (406) 563-3473

The provider's authorized official is Paul G Sims .
The authorized official title is President and has the following contact phone number (406) 490-8204.

The enumeration date for this NPI number is 7/21/2021 and was last updated on 7/21/2021.

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:

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