Glacier Dental Group, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GLACIER DENTAL GROUP, PC

Practice address

1228 Whitefish Stage
Kalispell, MT 59901-2753

Phone

(406) 752-8081

Fax

(406) 752-8083

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

David Keim, DDSNPI 1083785752

Title

President

Phone

(406) 752-8081

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David C Keim, DDS

  • General Practice Dentistry
  • Kalispell, MT
  • NPI 1083785752

  General Practice

  NPD Authorized official
• Samuel Steele Maltby, D.D.S

  • Dentist
  • Kalispell, MT
  • NPI 1942589635
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1891830360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 WHITEFISH STAGE",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012753",
            "telephone_number": "406-752-8081",
            "fax_number": "406-752-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 WHITEFISH STAGE",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012753",
            "telephone_number": "406-752-8081",
            "fax_number": "406-752-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "KEIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-752-8081",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2195",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "5512964",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113696",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Grace Gilman, DC
• Tadan Gilman, DC
• Gina Nelson M.D. PC
• Glacier Anesthesia and Pain Management, LLC
• Glacier Cross, Inc.
• Glacier Dermatology PC
• Glacier Ear Nose and Throat Head and Neck Surgery PC
• Glacier Eye Clinic PC
• Glacier Grins Pediatric Dentistry, PLLC
• Glacier Midwifery & Womens Healthcare

• All providers in Kalispell, MT
• Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.