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DR. TERRY KLISE D.D.S.
NPI 1912921594
Dentist - Dentist Anesthesiologist in Missoula, MT

Active since July 27, 2006
2603 DEER CANYON CT, MISSOULA, MT 59808(406) 529-2612(406) 721-1126 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Terry Klise D.d.s. NPPES

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

DR. TERRY KLISE D.D.S. (NPI 1912921594) is an individual dentist anesthesiologist in Missoula, Montana, licensed in Montana (2229) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912921594
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NameDR. TERRY KLISECredential: D.D.S.
Location Address2603 DEER CANYON CTMissoula, MT 59808-8638
Mailing Address2603 Deer Canyon CtMissoula, MT 59808-8638 · (406) 529-2612 · Fax (406) 721-1126
Phone(406) 529-2612
Fax(406) 721-1126
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 28, 2016
✔ NPI 1912921594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License✔ Licensed in MT · 2229
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2229 (MT)
2603 DEER CANYON CT, Missoula, MT 59808
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Other Identifiers 1

Medicaid200317590IN

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 Terry Klise's NPI number?

The NPI number for Terry Klise is 1912921594. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Terry Klise located?

Terry Klise practices at 2603 Deer Canyon Ct, Missoula, MT 59808. The listed phone number is (406) 529-2612.

What is Terry Klise's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Terry Klise was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.