Missoula Oral Surgery
NPI 1255620928 · Oral and Maxillofacial Surgery Clinic/Center · Missoula, MT
Missoula Oral Surgery is a Oral and Maxillofacial Surgery Clinic/Center organization in Missoula, MT (NPI 1255620928).
Provider details
- NPI number
- 1255620928
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Grant Wiswell, Owner/Surgeon(406) 552-9970
- License
- 2433 (MT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-04
- Last updated
- 2011-04-04
Frequently asked questions
- What is Missoula Oral Surgery's NPI number?
- Missoula Oral Surgery's National Provider Identifier (NPI) is 1255620928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Missoula Oral Surgery?
- Missoula Oral Surgery is classified in the NPPES registry as Oral and Maxillofacial Surgery Clinic/Center (Ambulatory Health Care Facilities).
- Where is Missoula Oral Surgery located?
- Missoula Oral Surgery's practice location on file with NPPES is 3020 S Reserve St, Missoula, MT 59801-7644.
- What is Missoula Oral Surgery's phone number?
- The practice phone number listed in the NPPES registry for Missoula Oral Surgery is (406) 552-9970.
- Who is the authorized official for Missoula Oral Surgery?
- The authorized official listed on Missoula Oral Surgery's NPPES record is Grant Wiswell, Owner/Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Missoula Oral Surgery's NPI active?
- Yes — Missoula Oral Surgery's NPI (1255620928) is active in the NPPES registry as of the last update on 2011-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.