KALISPELL ORAL SURGERY CENTER LLC – NPI #1710652938
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.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

KALISPELL ORAL SURGERY CENTER LLC is an oral & maxillofacial surgeon located in KALISPELL, MT. NPPES has assigned the NPI number 1710652938 to KALISPELL ORAL SURGERY CENTER LLC on August 10, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

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 KALISPELL ORAL SURGERY CENTER LLC below.

NPI Profile for
KALISPELL ORAL SURGERY CENTER LLC

NPI Number
1710652938
Enumeration Date

(about 5 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 ORAL SURGERY CENTER LLC
Primary location
180 TIMBERWOLF PKWY
KALISPELL, MT 59901-1218
Phone: (406) 755-6014 Fax: (406) 755-6094
1 Other location(s):
711 13th St E Ste 101
Whitefish, MT 59937-2966
Phone: (406) 755-6014
Fax: (406) 755-6094
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSHUA BLANTON-DICKENS
MEMBER
Phone: (406) 755-6014
Updated
Certification Date
Aug 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery
1223S0112X
- Dentist / Oral and Maxillofacial Surgery

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.