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NORTHERN MONTANA ORAL / MAXILLOFACIAL SURGERY
NPI 1962671370
Dentist - Oral and Maxillofacial Surgery in Great Falls, MT

Active since February 29, 2008CLIA Certified · 2 labs
2714 15TH AVE S, GREAT FALLS, MT 59405(406) 727-4322(406) 771-1516 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northern Montana Oral / Maxillofacial Surgery NPPES

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

NORTHERN MONTANA ORAL / MAXILLOFACIAL SURGERY (NPI 1962671370) is a healthcare organization registered as an oral and maxillofacial surgery in Great Falls, Montana and active in the NPI registry since February 2008. The organization holds 2 active CLIA laboratory certificates and lists Ronald E Neal, Owner, as its authorized official.

NPPES Registry Identity

NPI1962671370
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNORTHERN MONTANA ORAL / MAXILLOFACIAL SURGERY
Location Address2714 15TH AVE SGreat Falls, MT 59405-5246
Mailing Address2714 15th Ave SGreat Falls, MT 59405-5246 · (406) 727-4322 · Fax (406) 771-1516
Phone(406) 727-4322
Fax(406) 771-1516
Organization SubpartNo
Authorized OfficialRonald E NealOwner · (406) 727-4322
Enumeration DateFebruary 29, 2008
Last NPPES UpdateMay 12, 2009
✔ NPI 1962671370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MT · 1907
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.

2714 15TH AVE S, Great Falls, MT 59405
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Other Identifiers 6

Medicaid1104934314MT
Medicaid1972611101MT
Other5513100MT · Chips
Medicare UPIN000006207MT
Other5513092MT · Chips
Medicare UPIN000006208MT

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

CLIA Laboratory Certificates CMS CLIA 2

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 27D2161349

Northern Montana Oral & Maxillofacial Surgery · Havre, MT
Active · expires Jan 30, 2027
CLIA Number27D2161349
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorDaniel C. Whitney
Laboratory Phone(406) 727-4322
Laboratory LocationNorthern Montana Oral & Maxillofacial Surgery515 14th St West, Havre, MT 59501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 27D2161295

Northern Montana Oral & Maxillofacial Surgery · Great Falls, MT
Active · expires Jan 29, 2027
CLIA Number27D2161295
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorDaniel C. Whitney
Laboratory Phone(406) 727-4322
Laboratory LocationNorthern Montana Oral & Maxillofacial Surgery2511 Bobcat Way, Great Falls, MT 59405
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. RONALD E NEAL D.D.S
Dentist (Oral and Maxillofacial Surgery)
2714 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 727-4322

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 Northern Montana Oral / Maxillofacial Surgery's NPI number?

The NPI number for Northern Montana Oral / Maxillofacial Surgery is 1962671370. It was assigned to this organization in the NPPES registry on February 29, 2008.

Where is Northern Montana Oral / Maxillofacial Surgery located?

Northern Montana Oral / Maxillofacial Surgery is located at 2714 15th Ave S, Great Falls, MT 59405. The listed phone number is (406) 727-4322.

What is Northern Montana Oral / Maxillofacial Surgery's specialty?

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

Does Northern Montana Oral / Maxillofacial Surgery hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Northern Montana Oral / Maxillofacial Surgery was last updated on May 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.