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.

Q: Is Joshua Blanton-dickens enrolled in Medicare?

No. Joshua Blanton-dickens has opted out of Medicare through August 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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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 has opted out of Medicare through August 18, 2026 and remains eligible to order and refer 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

ⓘ

Opted out of Medicare

Joshua Blanton-dickens Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 18, 2020 through August 18, 2026.

Opt-Out Effective DateAugust 18, 2020

Opt-Out In Effect ThroughAugust 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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)