Organization
NORTHERN MONTANA ORAL / MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD E NEAL DDS (OWNER)
(406) 727-4322
Entity
Organization
Contact information
Practice address
2714 15TH AVE S, GREAT FALLS, MT 59405-5246
(406) 727-4322
(406) 771-1516
Mailing address
2714 15TH AVE S, GREAT FALLS, MT 59405-5246
(406) 727-4322
(406) 771-1516
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1907
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104934314
—
MT
05
—
1972611101
—
MT
01
—
5513092
CHIPS
MT
01
—
5513100
CHIPS
MT
Enumeration date
02/29/2008
Last updated
05/12/2009
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