BILLINGS ORAL SURGERY, LLC (NPI# 1801093463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801093463 |
| Entity Type | Organization |
| Organization Name | BILLINGS ORAL SURGERY, LLC |
| Practice Address |
152 S 32nd St W Suite B Billings MT 59102-6848 |
| Practice Telephone | 4066550170 |
| Practice Fax Number | 4066552271 |
| Mailing Telephone | 4066550170 |
| Mailing Fax Number | 4066552271 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | DR. JOHN WAYNE BENNION (PRESIDENT) |
| Authorized Official Telephone | 4066550170 |
| Authorized Official Credential | DDS,MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
1516 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 41004 | 01 |
| MT | 0112625 | 05 |
| Street Address |
152 S 32ND ST W SUITE B |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102-6848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922103597 | Billings Imaging | Clinic/Center | 152 S 32nd St W, Suite B, Billings, MT 59102-6848 | 2006-09-14 |
| 1235761354 | Wy Specialty Dental Services, LLC | Dentist | 152 S 32nd St W, Billings, MT 59102-6875 | 2020-02-06 |
| 1699307728 | Mt Specialty Dental Services, Pllc | Dentist | 152 S 32nd St W, Billings, MT 59102-6875 | 2020-02-06 |
| 1760834956 | Billings Orthodontics, Pllc | Dentist | 152 S 32nd St W, A, Billings, MT 59102-6875 | 2016-07-12 |
| 1801247242 | Austin Ledingham | Dentist | 152 S 32nd St W, Suite A, Billings, MT 59102-6875 | 2016-06-27 |
| 1225357734 | Kyle Dale Tracy | Dentist | 152 S 32nd St W, Suite B, Billings, MT 59102-6875 | 2010-05-24 |
| 1295867265 | Gregory M Burns | Dentist | 152 S 32nd St W, Suite B, Billings, MT 59102-6875 | 2007-03-12 |
| 1336282458 | Andrew George Boyce | Dentist | 152 S 32nd St W, Suite B, Billings, MT 59102-6848 | 2007-02-15 |
| 1740342682 | Kevin Chad Lambourne | Dentist | 152 S 32nd St W, Suite A, Billings, MT 59102-6875 | 2006-12-15 |
| 1265530133 | John Wayne Bennion | Dentist | 152 S 32nd St W, Suite B, Billings, MT 59102-6848 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
| Find all providers in zip 59102 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922103597 | Billings Imaging | Clinic/Center | 152 S 32nd St W, Suite B, Billings, MT 59102-6848 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255620928 | Missoula Oral Surgery | Clinic/Center | 3020 S Reserve St, Suite C, Missoula, MT 59801-7644 | 2011-04-04 |
| 1912120817 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2007-04-10 |
| 1043373012 | Glacier Oral and Maxillofacial Surgery PC | Clinic/Center | 711 13th Str E, Ste 101, Whitefish, MT 59937 | 2006-12-19 |
| 1811395882 | James A Jerman Dds Pllc | Clinic/Center | 22 2nd Ave W, Suite 1000, Kalispell, MT 59901-4466 | 2014-12-08 |
| 1366748147 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2011-01-27 |
| 1639475411 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2011-01-27 |
| 1134286883 | Facial Plastic & Reconstructive Surgery Montana PC | Clinic/Center | 805 S Reserve St, Missoula, MT 59801-2104 | 2007-01-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.