Active NPI
Trent C Clifton, DMD, MD
- Oral and Maxillofacial Surgery (Dentist)
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 15418
- Practice address
- 2511 Bobcat Way
Great Falls, MT 59405 - Phone
- (406) 727-4322
- Fax
- (406) 771-1516
- NPI assigned
- May 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15418 | MT | |
| Dentist | 122300000X | 9227 | KY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9227 | KY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 66167 | MT | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 15418 | MT | Primary |
Addresses
Primary practice location
2511 Bobcat Way
Great Falls, MT 59405
Mailing address
2511 Bobcat Way
Great Falls, MT 59405
Phone (406) 727-4322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2511 Bobcat Way
Great Falls, MT 59405-5169
Phone (406) 727-4322
Hospital & facility affiliations
- Benefis Hospitals Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15418 | MT | MD | General Practice Dentistry |
| 9227 | KY | MD | Oral and Maxillofacial Surgery (Dentist) |
| 66167 | MT | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Montana Oral Surgery | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Northern Montana Oral / Maxillofacial Surgery | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
2511 Bobcat Way
Great Falls, MT 59405
Phone (406) 727-4322
2714 15th Ave S
Great Falls, MT 59405
Phone (406) 727-4322
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Great Falls, MT
- NPI 1497394811
-
- Oral and Maxillofacial Surgery (Dentist)
- Great Falls, MT
- NPI 1962671370
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1992064349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 BOBCAT WAY",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59405",
"telephone_number": "406-727-4322",
"fax_number": "406-771-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 BOBCAT WAY",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59405",
"telephone_number": "406-727-4322",
"fax_number": "406-771-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFTON",
"first_name": "TRENT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-04",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "15418",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "9227",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "9227",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MT",
"license": "66167",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MT",
"license": "15418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.