Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Facial Plastic and Reconstructive Surgery Montana PC

Organization Clinic/Center · NPI 1407116338

Facial Plastic and Reconstructive Surgery Montana PC is a Clinic/Center in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2012.

Licensed in
MT
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

805 S Reserve St
Missoula, MT 59801-2104
Phone: (406) 549-6600
Fax: (406) 549-1511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X · Licence 12580 (MT)

Record details

NPI number1407116338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rf John Holtzen — Owner · (406) 549-6600
Other names Cosmetic Surgical Arts Center
NPI enumeratedMay 25, 2012
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address805 S Reserve St, Missoula, MT 59801-2104

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