OrganizationActive
Glacier Oral and Maxillofacial Surgery PC
NPI 1043373012 · Oral and Maxillofacial Surgery Clinic/Center · Whitefish, MT
Provider details
- NPI number
- 1043373012
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bernadette Wilson, President(406) 862-5656
- License
- 11198 (MT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
711 13th Str E
Ste 101
Whitefish, MT 59937
Phone: (406) 862-5656
Fax: (406) 862-6155
Approximate (ZIP-level) locationGet directions
Mailing address
711 13th Str E
Whitefish, MT 59937
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.