Individual
STUART W ALLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
805 S RESERVE ST, MISSOULA, MT, MISSOULA, MT 59801
(406) 549-6600
Mailing address
805 S RESERVE ST, MISSOULA, MT 59801, MISSOULA, MT 59801
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN-DEN-LIC-28338
MT
208600000X
Surgery Physician
Primary
144637
MT
Other
Enumeration date
03/15/2018
Last updated
10/15/2024
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