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

GALLATIN VALLEY MAXILLOFACIAL & AESTHETIC SURGERY
NPI 1992355929
Dentist - Oral and Maxillofacial Surgery in Bozeman, MT

Active since September 11, 2019CLIA 27D2181450 · Waiver
1994 STADIUM DR, BOZEMAN, MT 59715(406) 587-0767(406) 587-2120 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gallatin Valley Maxillofacial & Aesthetic Surgery NPPES

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

GALLATIN VALLEY MAXILLOFACIAL & AESTHETIC SURGERY (NPI 1992355929) is a healthcare organization registered as an oral and maxillofacial surgery in Bozeman, Montana and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Brian R. Chisdak, Owner, as its authorized official.

NPPES Registry Identity

NPI1992355929
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGALLATIN VALLEY MAXILLOFACIAL & AESTHETIC SURGERY
Location Address1994 STADIUM DRBozeman, MT 59715-0655
Mailing Address1994 Stadium DrBozeman, MT 59715-0655 · (406) 587-0767 · Fax (406) 587-2120
Phone(406) 587-0767
Fax(406) 587-2120
Organization SubpartNo
Authorized OfficialBrian R. ChisdakOwner · (406) 587-0767
Enumeration DateSeptember 11, 2019
✔ NPI 1992355929 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.
1994 STADIUM DR, Bozeman, MT 59715
Open in Google Maps ↗

Other Identifiers 3

Other1336301266Npi
Other1457573727MT · Npi
Other1689745804Npi

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.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 27D2181450

Gallatin Valley Maxillofacial · Bozeman, MT
Active · expires Apr 2, 2028
CLIA Number27D2181450
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorBrian R. Chisdak
Laboratory Phone(406) 587-0767
Laboratory LocationGallatin Valley Maxillofacial1994 Stadium Drive, Bozeman, MT 59715
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 3

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

GALLATIN VALLEY SURGICAL ARTS
Clinic/Center (Ambulatory Surgical)
1994 STADIUM DR
BOZEMAN, MT 59715
Gallatin County (406) 587-0767
DR. LANCE L LERNER DDS
Dentist (Oral and Maxillofacial Surgery)
1994 STADIUM DR
BOZEMAN, MT 59715
Gallatin County (406) 587-0767
KYLIE MARIE EDINGER MD
Plastic Surgery
1994 STADIUM DR
BOZEMAN, MT 59715
Gallatin County (406) 587-0767

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 Gallatin Valley Maxillofacial & Aesthetic Surgery's NPI number?

The NPI number for Gallatin Valley Maxillofacial & Aesthetic Surgery is 1992355929. It was assigned to this organization in the NPPES registry on September 11, 2019.

Where is Gallatin Valley Maxillofacial & Aesthetic Surgery located?

Gallatin Valley Maxillofacial & Aesthetic Surgery is located at 1994 Stadium Dr, Bozeman, MT 59715. The listed phone number is (406) 587-0767.

What is Gallatin Valley Maxillofacial & Aesthetic Surgery's specialty?

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

Does Gallatin Valley Maxillofacial & Aesthetic Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2181450) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gallatin Valley Maxillofacial & Aesthetic Surgery accept?

Health plans from Blue Cross and Blue Shield of Montana list Gallatin Valley Maxillofacial & Aesthetic Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gallatin Valley Maxillofacial & Aesthetic Surgery was last updated on September 11, 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.