Active NPI
Montana Oral Surgery and Dental Implant Center PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Helena, MT
National Provider Identifier
1821328394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2362
- Legal business name
- MONTANA ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC
- Practice address
- 65 Medical Park Dr
Unit #1
Helena, MT 59601-8048 - Phone
- (406) 443-3334
- NPI assigned
- Jan 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Fleischmann, DMD, MD
- Title
- Owner
- Phone
- (406) 443-3334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2362 | MT | Primary |
Addresses
Primary practice location
65 Medical Park Dr
Unit #1
Helena, MT 59601-8048
Mailing address
65 Medical Park Dr
Unit #1
Helena, MT 59601-8048
Phone (406) 443-3334
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134633 | Medicaid | MT | |
| 134633 | Other | MT | PERSONAL NPI NUMBER |
National Provider Directory
National Provider DirectoryLocations
65 Medical Park Dr
Ste 1
Helena, MT 59601
Phone (406) 443-3334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262736000000",
"number": "1821328394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 MEDICAL PARK DR",
"address_2": "UNIT #1",
"city": "HELENA",
"state": "MT",
"postal_code": "596018048",
"telephone_number": "406-443-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MEDICAL PARK DR",
"address_2": "UNIT #1",
"city": "HELENA",
"state": "MT",
"postal_code": "596018048",
"telephone_number": "406-443-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTANA ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A",
"authorized_official_last_name": "FLEISCHMANN",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-443-3334",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD, MD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MT",
"license": "2362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134633",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI NUMBER",
"identifier": "134633",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.