Provider Demographics
NPI:1932248549
Name:GIVLER, GEORGE B (DDS)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:B
Last Name:GIVLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8048
Mailing Address - Country:US
Mailing Address - Phone:406-443-3334
Mailing Address - Fax:406-443-3335
Practice Address - Street 1:65 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8048
Practice Address - Country:US
Practice Address - Phone:406-443-3334
Practice Address - Fax:406-443-3335
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT15091223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT5512199OtherCHIP
MT124397Medicaid
MT15094OtherBLUE CROSS BLUE SHIELD MT