Missoula Pediatric Dentistry, Pllc
Pediatric Dental Clinic
3020 S Reserve St, Suite D, Missoula
Montana, 59801-7652
406-541-7334 406-541-7338
Maps & DirectionsMissoula Pediatric Dentistry, Pllc is a Pediatric Dental Clinic in Missoula, Montana. It is located at 3020 S Reserve St, Suite D, Missoula, MT and its contact number is 406-541-7334. The authorized person for Missoula Pediatric Dentistry, Pllc is Paul Leonard Tiede
who is Business Manager of the clinic and their contact number is 406-541-7334. Other organizations associated with this clinic are Missoula Pediatric Dentistry, Pllc, Misa04, Llc, The primary license number for Missoula Pediatric Dentistry, Pllc is MT2151 (Pediatric Dentistry) in Montana.
Missoula Pediatric Dentistry, Pllc 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:
Missoula Pediatric Dentistry, Pllc 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, Pllc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 3020 S Reserve St, Suite D, Missoula,
Montana, 59801-7652 |
| 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: | 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, Pllc clinic are as mentioned below.
| NPI Number: | 1578993531 |
| NPI Enumeration Date: | 12 Nov, 2013 |
| NPI Last Update On: | 12 Nov, 2013 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Missoula Pediatric Dentistry, Pllc | Pediatric Dentistry | 1578993531 |
| Misa04, Llc | General Practice Dentistry | 1588366611 |
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, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | MT2151 | Montana | Primary | |
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 |
| 1942483524 | 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: | Missoula Pediatric Dentistry, Pllc
3020 S Reserve St, Suite D
Missoula, Montana |
| Zip: | 59801-7652 |
| Phone Number: | 406-541-7334 |
| Fax Number: | 406-541-7338 |
Patients can reach Missoula Pediatric Dentistry, Pllc at
3020 S Reserve St, Suite D, Missoula, Montana or can
call to book an appointment on 406-541-7334.
Comments/ Reviews:
Read all the reviews posted for Missoula Pediatric Dentistry, Pllc below. You may also share your own experience with Missoula Pediatric Dentistry, Pllc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.