# ORAL SURGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760682710
- **Authorized official:** MS. LISA M ROSLING (OFFICE MANAGER)
- **Authorized official phone:** (406) 728-6840

## Contact information

- **Practice address:** 1547 S HIGGINS AVE, MISSOULA, MT 59801-4226
- **Practice address phone:** (406) 728-6840
- **Practice address fax:** (406) 728-1012
- **Mailing address:** 1547 S HIGGINS AVE, MISSOULA, MT 59801-4226
- **Mailing address phone:** (406) 728-6840
- **Mailing address fax:** (406) 728-1012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 621111 | MT | Yes |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 07/18/2007