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

Glacier Dermatology PC

Organization Dermatology Physician · NPI 1407366545

Glacier Dermatology PC is a Dermatology Physician in Kalispell, Montana. Licensed in Montana. Registered with an NPI since 2017.

Licensed in
MT
In the registry since
2017
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

40 Four Mile Dr Ste 7
Kalispell, MT 59901-2655
Phone: (406) 314-6336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 10806 (MT)
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1407366545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sylvia Owen — Physician/Owner · (406) 314-6336
NPI enumeratedOctober 3, 2017
Last updated in NPPESDecember 12, 2017
Mailing address40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655

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