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GLACIER DERMATOLOGY PC
NPI 1407366545
Dermatology in Kalispell, MT

Active since October 03, 2017
40 FOUR MILE DR STE 7, KALISPELL, MT 59901(406) 314-6336 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glacier Dermatology Pc NPPES

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

GLACIER DERMATOLOGY PC (NPI 1407366545) is a healthcare organization registered as a dermatology in Kalispell, Montana and active in the NPI registry since October 2017. The organization lists Sylvia A Owen, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1407366545
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGLACIER DERMATOLOGY PC
Location Address40 FOUR MILE DR STE 7Kalispell, MT 59901-2655
Mailing Address40 Four Mile Dr Ste 7Kalispell, MT 59901-2655 · (406) 314-6336
Phone(406) 314-6336
Organization SubpartNo
Authorized OfficialSylvia A OwenPhysician/owner · (406) 314-6336
Enumeration DateOctober 3, 2017
Last NPPES UpdateDecember 12, 2017
✔ NPI 1407366545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MT · 10806
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
40 FOUR MILE DR STE 7, Kalispell, MT 59901
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Other Identifiers 1

Medicaid0143741MT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

SYLVIA A OWEN MD
Dermatology
40 FOUR MILE DR STE 7
KALISPELL, MT 59901
Flathead County (406) 314-6336
LUCY BALDWIN LEDYARD
Dermatology
40 FOUR MILE DR STE 7
KALISPELL, MT 59901
Flathead County (406) 314-4788

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 Dermatology PC's NPI number?

The NPI number for Glacier Dermatology PC is 1407366545. It was assigned to this organization in the NPPES registry on October 3, 2017.

Where is Glacier Dermatology PC located?

Glacier Dermatology PC is located at 40 Four Mile Dr Ste 7, Kalispell, MT 59901. The listed phone number is (406) 314-6336.

What is Glacier Dermatology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Glacier Dermatology PC was last updated on December 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.