Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN ROBERT CHISDAK, MD, DMD
Active Sole ProprietorDR. BRIAN ROBERT CHISDAK, MD, DMD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in BOZEMAN, Montana. NPI 1457573727 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · BOZEMAN, MT
Registration Details
- NPI Number
- 1457573727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2007 (19.313591933854 yrs)
- Last Updated
- Jul 8, 2007
- License
-
9512 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1994 STADIUM DR.BOZEMAN, MT, 59715Browse MT providers · Browse ZIP 59715
- Phone
- 4065870767
- Fax
- 4065872120
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.