Missoula Pediatric Dentistry Pc is a Dental Clinic in Missoula, Montana. It is located at 1300 South Reserve St, Suite B, Missoula, MT and its contact number is 406-541-7334. The authorized person for Missoula Pediatric Dentistry Pc is Mr. Paul Leonard Tiede
who is Business Manager of the clinic and their contact number is 406-541-7334. The primary license number for Missoula Pediatric Dentistry Pc is MT2151 (Pediatric Dentistry) in Montana. Missoula Pediatric Dentistry Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Missoula Pediatric Dentistry Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Missoula Pediatric Dentistry Pc
Specialization:
General Practice Dentistry
Clinic Address:
1300 South Reserve St, Suite B, Missoula, Montana, 59801
Phone:
406-541-7334
Fax:
406-541-7338
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:
Mr. Paul Leonard Tiede
Position:
Business Manager
Contact Number:
406-541-7334
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 Missoula Pediatric Dentistry Pc clinic are as mentioned below.
NPI Number:
1942483524
NPI Enumeration Date:
06 Dec, 2007
NPI Last Update On:
31 Jan, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Missoula Pediatric Dentistry Pc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
MT2151
Montana
Primary
General Practice
MT2229
Montana
Secondary
General Practice
MT2212
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
1558308221
Medicaid
Montana
5512641
Other
Montana
Chips
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Missoula Pediatric Dentistry Pc 1300 South Reserve St, Suite B Missoula, Montana
Zip:
59801
Phone Number:
406-541-7334
Fax Number:
406-541-7338
Patients can reach Missoula Pediatric Dentistry Pc at 1300 South Reserve St, Suite B, Missoula, Montana or can call to book an appointment on 406-541-7334. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.