FOREFRONT DERMATOLOGY, S.C.
NPI 1922647395
Dermatology in Missoula, MT

Active since January 02, 2020CLIA 27D2179886 · Waiver
1821 SOUTH AVE W STE 402, MISSOULA, MT 59801(406) 543-8512(406) 541-8513 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 25, 2023, Mar 3, 2020, Jan 2, 2020 (3 updates tracked since 2020).

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1922647395) is a healthcare organization registered as a dermatology in Missoula, Montana and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1922647395
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address1821 SOUTH AVE W STE 402Missoula, MT 59801-6518
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(406) 541-8513
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateJanuary 2, 2020
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
NPI 1922647395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
1821 SOUTH AVE W STE 402, Missoula, MT 59801

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2179886

Forefront Dermatology, S C · Missoula, MT
Active · expires Mar 2, 2028
CLIA Number27D2179886
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorKevin R. Mcmullen
Laboratory Phone(406) 543-8512
Laboratory LocationForefront Dermatology, S C1821 South Ave W Ste 402, Missoula, MT 59801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Physician Assistant (Medical)
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Dermatology
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Dermatology
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Physician Assistant (Medical)
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Physician Assistant (Medical)
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Dermatology
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801
Physician Assistant
1821 SOUTH AVE W STE 402
MISSOULA, MT 59801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922647395, enumerated as an "organization" on January 02, 2020.

The provider is located at 1821 SOUTH AVE W STE 402 MISSOULA, MT 59801 and the phone number is (406) 543-8512.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana. Please consult your insurance carrier or call the provider to verify.