Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TERRY KLISE, D.D.S.
Active Sole ProprietorDR. TERRY KLISE, D.D.S. is a 1223D0004X healthcare provider located in MISSOULA, Montana. NPI 1912921594 is currently active in the NPPES registry. Verify at CMS.
1223D0004X · MISSOULA, MT
Registration Details
- NPI Number
- 1912921594
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.082552783522 yrs)
- Last Updated
- Jul 28, 2016
- Licenses
-
2229 (MT)2229 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2603 DEER CANYON CTMISSOULA, MT, 598088638Browse MT providers · Browse ZIP 59808
- Phone
- 4065292612
- Fax
- 4067211126
- Primary Specialty
-
1223D0004X
1223D0004X
- Additional Specialty
- General Dentistry
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.