GLACIER ORAL AND MAXILLOFACIAL SURGERY PC – NPI #1043373012
Clinic/Center
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.
GLACIER ORAL AND MAXILLOFACIAL SURGERY PC is an AHC clinic located in WHITEFISH, MT. NPPES has assigned the NPI number 1043373012 to GLACIER ORAL AND MAXILLOFACIAL SURGERY PC on December 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery
The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLACIER ORAL AND MAXILLOFACIAL SURGERY PC below.
NPI Profile for
GLACIER ORAL AND MAXILLOFACIAL SURGERY PC
(more than 19 years ago)
STE 101
WHITEFISH, MT 59937 Phone: (406) 862-5656 Fax: (406) 862-6155
PRESIDENT
Phone: (406) 862-5656
Identifiers for GLACIER ORAL AND MAXILLOFACIAL SURGERY PC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BLUE CROSS BLUE SHIELD ID | MT | 95296 |
| other | MONTANA DENTAL LICENSE # | MT | 2235 |
| other | MONTANA MEDICAL LICENSE # | MT | 11198 |
| medicaid | MT | 0130186 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QS0112X - Clinic/Center / Oral and Maxillofacial Surgery (Primary) |
MT | 11198 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.