GLACIER ORAL AND MAXILLOFACIAL SURGERY – NPI #1407301872
Oral & Maxillofacial Surgery

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.

GLACIER ORAL AND MAXILLOFACIAL SURGERY is an oral & maxillofacial surgeon located in WHITEFISH, MT. NPPES has assigned the NPI number 1407301872 to GLACIER ORAL AND MAXILLOFACIAL SURGERY on August 16, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GLACIER ORAL AND MAXILLOFACIAL SURGERY” is a dba name, the actual legal business name for this organization is KALISPELL REGIONAL MEDICAL CENTER INC. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 9 years ago on Oct 04, 2017. 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 below.

NPI Profile for
KALISPELL REGIONAL MEDICAL CENTER INC

NPI Number
1407301872
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KALISPELL REGIONAL MEDICAL CENTER INC
Doing Business As (dba): GLACIER ORAL AND MAXILLOFACIAL SURGERY
Primary location
711 E 13TH ST
SUITE 101
WHITEFISH, MT 59937-2964
Phone: (406) 862-5656 Fax: (406) 862-6155
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAMELA ROBERTSON
PRESIDENT/CHIEF EXECUTIVE OFFICER
Phone: (406) 752-1724
Updated
Taxonomy Code(s)

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
204E00000X
- Oral & 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.