is a Pediatric Dental Clinic in Kalispell, Montana. It is located at 60 Four Mile Dr, Suite 10, Kalispell, MT and its contact number is 406-756-1142. The authorized person for is Dr. Reed Edward Thompson
who is Owner of the clinic and their contact number is 406-756-1142. The primary license number for is 2005 (Pediatric Dentistry) in Montana. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Pediatric Dentistry
Clinic Address:
60 Four Mile Dr, Suite 10, Kalispell, Montana, 59901-2663
Phone:
406-756-1142
Fax:
406-756-1143
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Reed Edward Thompson
Position:
Owner
Contact Number:
406-756-1142
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1104176445
NPI Enumeration Date:
13 Sep, 2012
NPI Last Update On:
13 Sep, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
2005
Montana
Primary
Pediatric Dentistry
2220
Montana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1154389526
Medicaid
Montana
1619030186
Medicaid
Montana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
60 Four Mile Dr, Suite 10 Kalispell, Montana
Zip:
59901-2663
Phone Number:
406-756-1142
Fax Number:
406-756-1143
Patients can reach at 60 Four Mile Dr, Suite 10, Kalispell, Montana or can call to book an appointment on 406-756-1142. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.