Missoula 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.