Glacier Oral And Maxillofacial Surgery Pc

LBN: Glacier Oral And Maxillofacial Surgery Pc
Glacier Oral And Maxillofacial Surgery Pc is an health care organization with primary practice located at 711 13Th Str E Ste 101, Whitefish MT 59937. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Glacier Oral And Maxillofacial Surgery Pc can be contacted via phone (406) 862-5656, or through Wilson, Bernadette L via phone (406) 862-5656.

Contact Information

Primary practice address
711 13Th Str E Ste 101 Whitefish MT 59937
Fax: (406) 862-6155
Website:
Authorized official contact:
Name: Wilson, Bernadette L DDS MD

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X 11198 Montana

Profile Details

NPI number 1043373012
LBN Legal business name Glacier Oral And Maxillofacial Surgery Pc
DBA Doing business as
Authorized official Wilson, Bernadette L DDS MD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043373012 NPPES
Montana MEDICAID 0130186
Montana Other 95296
Montana Other 2235
Montana Other 11198

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