Gallatin Valley Maxillofacial & Aesthetic Surgery
LBN: Gallatin Valley Maxillofacial & Aesthetic Surgery
Gallatin Valley Maxillofacial & Aesthetic Surgery is an health care organization with primary practice located at 1994 Stadium Dr , Bozeman MT 59715-0655. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Gallatin Valley Maxillofacial & Aesthetic Surgery can be contacted via phone (406) 587-0767, or through Chisdak, Brian R. via phone (406) 587-0767.
Contact Information
Primary practice address
1994 Stadium Dr
Bozeman MT 59715-0655
Phone: (406) 587-0767
Fax: (406) 587-2120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1992355929 |
|---|---|
| LBN Legal business name | Gallatin Valley Maxillofacial & Aesthetic Surgery |
| DBA Doing business as | |
| Authorized official | Chisdak, Brian R. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 11th, 2019 |
| Last updated | Sep 11th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992355929 | NPPES |
| Other | 1689745804 | NPI | |
| Other | 1457573727 | NPI | |
| Other | 1336301266 | NPI |
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