Billings Oral Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

1516 Issued in MT

Legal business name

BILLINGS ORAL SURGERY, LLC

Practice address

152 S 32ND St W
Suite B
Billings, MT 59102-6848

Phone

(406) 655-0170

Fax

(406) 655-2271

NPI assigned

Jun 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Wayne Bennion, DDS,MD

Title

President

Phone

(406) 655-0170

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1801093463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 S 32ND ST W",
            "address_2": "SUITE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026848",
            "telephone_number": "406-655-0170",
            "fax_number": "406-655-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 S 32ND ST W",
            "address_2": "SUITE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026848",
            "telephone_number": "406-655-0170",
            "fax_number": "406-655-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLINGS ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-655-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MT",
            "license": "1516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112625",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41004",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Billings OB-GYN Associates, P.C.
• Billings Open MRI
• Billings Orthodontics, PLLC
• Billings Orthopedics & Sports, LLC
• Billings Otolaryngology PC
• Billings Partners LLC -Dba-
• Billings Plastic Surgery PC

• Oral and Maxillofacial Surgery Clinic/Center in Billings, MT
• Providers in Billings, MT by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.