| Southwestern Montana Oral And Maxillofacial Surgery Llc | |
|
307 E Park Ave Anaconda MT 59711-2320 | |
| (406) 563-3473 | |
| Not Available |
| Full Name | Southwestern Montana Oral And Maxillofacial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 307 E Park Ave, Anaconda, Montana |
| Authorized Official Name and Position | Paul G Sims (PRESIDENT) |
| Authorized Official Contact | 4064908204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwestern Montana Oral And Maxillofacial Surgery Llc 105 Blacktail Ct Butte MT 59701-4351 Ph: (406) 490-8204 | Southwestern Montana Oral And Maxillofacial Surgery Llc 307 E Park Ave Anaconda MT 59711-2320 Ph: (406) 563-3473 |
| NPI Number | 1952974594 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952974594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |