Facial Plastic and Reconstructive Surgery Montana PC
NPI 1407116338ActiveOrganization· Clinic/Center· Missoula, MT
Clinic/Center in Missoula, Montana, registered in NPPES in May 2012. The authorized official on file is Rf John Holtzen, DMD, Owner.
Overview
| NPI | 1407116338 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2012 |
| Last updated in NPPES | Apr 22, 2025 |
| Certified by provider | Apr 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Clinic/Center, Ambulatory Surgical | 261QA1903X | 12580 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in Missoula
- 1720632201
- 1285814723
- 1790327302
- 1952817439
- 1275415945
- 1215127485
- 1598313801
- 1801309208
- 1073369047
- 1821612946
- 1467148684
- 1679801948