<Unavail>
LBN: Facial Plastic And Reconstructive Surgery Montana Pc
<Unavail> is an health care organization with primary practice located at 805 S Reserve St , Missoula MT 59801-2104. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Ambulatory Surgical. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Facial Plastic And Reconstructive Surgery Montana Pc can be contacted via phone (406) 549-6600, or through Holtzen, Rf John via phone (406) 549-6600.
Contact Information
Primary practice address
805 S Reserve St
Missoula MT 59801-2104
Phone: (406) 549-6600
Fax: (406) 549-1511
Website:
Authorized official contact:
Name: Holtzen, Rf John Doctor of Dental Medicine (DMD)
Phone: (406) 549-6600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 12580 | Montana |
Profile Details
| NPI number | 1407116338 |
|---|---|
| LBN Legal business name | Facial Plastic And Reconstructive Surgery Montana Pc |
| DBA Doing business as | <Unavail> |
| Authorized official | Holtzen, Rf John Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2012 |
| Last updated | Apr 22nd, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407116338 | NPPES |
| Montana | Other | 60882 | BLUE CROSS BLUE SHIELD |
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