JOSHUA BLANTON-DICKENS DMD
NPI 1063875946
Oral & Maxillofacial Surgery in Kalispell, MT

Q: What is Joshua Blanton-dickens's NPI number?

The NPI number for Joshua Blanton-dickens is 1063875946. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Q: What is Joshua Blanton-dickens's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since March 30, 2016PECOS Enrolled

180 TIMBERWOLF PKWY, KALISPELL, MT 59901(831) 801-1587 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 16, 2021, Aug 17, 2020, Mar 30, 2016 (3 updates tracked since 2016).

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About Joshua Blanton-dickens Dmd NPPES

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

JOSHUA BLANTON-DICKENS DMD (NPI 1063875946) is an individual oral & maxillofacial surgery provider in Kalispell, Montana, licensed in Montana (18595) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Whitefish.

NPPES Registry Identity

NPI1063875946

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameJOSHUA BLANTON-DICKENSCredential: DMD

Location Address180 TIMBERWOLF PKWYKalispell, MT 59901-1218

Mailing Address180 Timberwolf PkwyKalispell, MT 59901-1218 · (831) 801-1587

Phone(831) 801-1587

Sole ProprietorNo

Enumeration DateMarch 30, 2016

Last NPPES UpdateAugust 16, 20213 updates tracked since enumeration

NPPES CertifiedAugust 16, 2021

✔ NPI 1063875946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in MT · 18595

Definition

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.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 18595 (MT)

180 TIMBERWOLF PKWY, Kalispell, MT 59901

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Secondary Practice Location 1

Location 1711 13th St EWhitefish, MT 59937-2964 · Phone (406) 755-6014 · Fax (406) 755-6094

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Blanton-dickens Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M WEBER DDS MD PC

Dentist (Oral and Maxillofacial Surgery)