GLACIER ORAL AND MAXILLOFACIAL SURGERY PC
NPI 1043373012
Clinic/Center - Oral and Maxillofacial Surgery in Whitefish, MT

Q: What is Glacier Oral And Maxillofacial Surgery PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since December 19, 2006

711 13TH STR E, STE 101, WHITEFISH, MT 59937(406) 862-5656(406) 862-6155 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Glacier Oral And Maxillofacial Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLACIER ORAL AND MAXILLOFACIAL SURGERY PC (NPI 1043373012) is a healthcare organization registered as an oral and maxillofacial surgery in Whitefish, Montana and active in the NPI registry since December 2006. The organization lists Bernadette L Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1043373012

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameGLACIER ORAL AND MAXILLOFACIAL SURGERY PC

Location Address711 13TH STR E, STE 101Whitefish, MT 59937

Mailing Address711 13th Str E, Ste 101Whitefish, MT 59937 · (406) 862-5656 · Fax (406) 862-6155

Phone(406) 862-5656

Fax(406) 862-6155

Organization SubpartNo

Authorized OfficialBernadette L WilsonPresident · (406) 862-5656

Enumeration DateDecember 19, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1043373012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

License✔ Licensed in MT · 11198

Definition

An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

711 13TH STR E, Whitefish, MT 59937

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Other Identifiers 4

Medicaid0130186MT

Other95296MT · Blue Cross Blue Shield Id

Other2235MT · Montana Dental License #

Other11198MT · Montana Medical License #

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glacier Oral And Maxillofacial Surgery PC's NPI number?

The NPI number for Glacier Oral And Maxillofacial Surgery PC is 1043373012. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Glacier Oral And Maxillofacial Surgery PC located?

Glacier Oral And Maxillofacial Surgery PC is located at 711 13th Str E Ste 101, Whitefish, MT 59937. The listed phone number is (406) 862-5656.

What is Glacier Oral And Maxillofacial Surgery PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Glacier Oral And Maxillofacial Surgery PC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.