Smile Missoula Pc

LBN: Smile Missoula Pc
Smile Missoula Pc is an health care organization with primary practice located at 237 Sw Higgins Ave Ste C, Missoula MT 59803-1485. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Smile Missoula Pc can be contacted via phone (406) 721-2830, or through Olsen, George M. via phone (406) 721-2830.

Contact Information

Primary practice address
237 Sw Higgins Ave Ste C Missoula MT 59803-1485
Phone: (406) 721-2830
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olsen, George M. Doctor of Dental Surgery (DDS)
Phone: (406) 721-2830

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1424 Montana
Dental Providers / General Practice 1223G0001X 2474 Montana

Profile Details

NPI number 1225306749
LBN Legal business name Smile Missoula Pc
DBA Doing business as
Authorized official Olsen, George M. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2011
Last updated Feb 24th, 2012 - about 14 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225306749 NPPES
Montana Other 5511480 CHIP
Montana MEDICAID 1101-62 CHIP

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