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Meet the Doctors

Meet Dr. Holtzen

Dual-board certified, Dr. Holtzen is a highly regarded oral and maxillofacial surgeon, known for providing leading-edge procedures tailored to the individual. His extensive post-doctorate training and specialized education, along with his belief in caring for each patient with compassion, ensures comfortable and effective surgeries, with functional, stable, and beautiful results!

Meet Dr. Pacheco

A Board Diplomate of Neuromuscular Medicine/Osteopathic Manual Medicine, American Academy of Osteopathy, Dr. Pacheco offers a comprehensive wellness approach to each patient. She works closely with each person to determine their needs and then partners with them as they improve their physical and emotional health.

Welcome to Alpine Oral & Facial Surgery

At Alpine Oral & Facial Surgery, we offer professional, compassionate care in a welcoming and patient-centered environment.

Dr. John Holtzen and our team believe we have been placed in our community and our patients’ lives for a reason, and as such we constantly seek to fulfill that purpose. We work to serve others and are humbled by the opportunity to improve each person’s oral health and quality of life.

Among the oral and maxillofacial surgical services Dr. Holtzen offers, are:

Dr. Holtzen and our team know the most important people in our practice are our patients, and they are the focus of everything we do. We invite you to schedule a complimentary consultation at our primary oral and facial surgery office in Missoula, or satellite office in Hamilton and serving the Bitterroot Valley, today.


Dental implants are a long-term, functional solution to missing and damaged teeth, improving oral health and restoring smiles.


Innovative and efficient, All-on-4� is a single-day dental implant procedure that delivers a beautiful and fully functional smile.


Also known as corrective jaw surgery, orthognathic procedures correct jaw abnormalities resulting from disease, injury, or genetics, improving function and aesthetics.


A straightforward procedure, extracting wisdom teeth can alleviate jaw damage and overcrowding, which affects alignment, dental health, and smiles.