Organization
BILLINGS ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WAYNE BENNION DDS,MD (PRESIDENT)
(406) 655-0170
Entity
Organization
Contact information
Practice address
152 S 32ND ST W, SUITE B, BILLINGS, MT 59102-6848
(406) 655-0170
(406) 655-2271
Mailing address
152 S 32ND ST W, SUITE B, BILLINGS, MT 59102-6848
(406) 655-0170
(406) 655-2271
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
1516
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112625
—
MT
01
—
41004
BCBS
MT
Enumeration date
06/28/2007
Last updated
10/18/2007
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