1. Home
  2. Directory
  3. Montana
  4. Bozeman
  5. Dentist
  6. NPI Profile

BIG SKY ORAL & FACIAL SURGERY
NPI 1710523725
Dentist - Oral and Maxillofacial Surgery in Bozeman, MT

Active since November 25, 2019
1125 W KAGY BLVD STE 201, BOZEMAN, MT 59715(406) 585-1120(406) 587-1988 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Big Sky Oral & Facial Surgery NPPES

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

BIG SKY ORAL & FACIAL SURGERY (NPI 1710523725) is a healthcare organization registered as an oral and maxillofacial surgery in Bozeman, Montana and active in the NPI registry since November 2019. The organization lists Christopher Ryan Wallis, Owner, as its authorized official.

NPPES Registry Identity

NPI1710523725
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBIG SKY ORAL & FACIAL SURGERY
Location Address1125 W KAGY BLVD STE 201Bozeman, MT 59715-5879
Mailing Address1125 W Kagy Blvd Ste 201Bozeman, MT 59715-5879 · (406) 585-1120 · Fax (406) 587-1988
Phone(406) 585-1120
Fax(406) 587-1988
Organization SubpartNo
Authorized OfficialChristopher Ryan WallisOwner · (406) 585-1120
Enumeration DateNovember 25, 2019
✔ NPI 1710523725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist 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.
1125 W KAGY BLVD STE 201, Bozeman, MT 59715
Open in Google Maps ↗

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

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 Big Sky Oral & Facial Surgery's NPI number?

The NPI number for Big Sky Oral & Facial Surgery is 1710523725. It was assigned to this organization in the NPPES registry on November 25, 2019.

Where is Big Sky Oral & Facial Surgery located?

Big Sky Oral & Facial Surgery is located at 1125 W Kagy Blvd Ste 201, Bozeman, MT 59715. The listed phone number is (406) 585-1120.

What is Big Sky Oral & Facial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Big Sky Oral & Facial Surgery was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.