Missoula Peditric Dentistry, P.c.
Pediatric Dental Clinic
3020 S Reserve St Ste D, Missoula
Montana, 59801-7652
406-541-7334 406-541-7338
Maps & DirectionsMissoula Peditric Dentistry, P.c. is a Pediatric Dental Clinic in Missoula, Montana. It is located at 3020 S Reserve St Ste D, Missoula, MT and its contact number is 406-541-7334. The authorized person for Missoula Peditric Dentistry, P.c. 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 Peditric Dentistry, P.c. is 4170 (Pediatric Dentistry) in Montana.
Missoula Peditric Dentistry, P.c. 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 Peditric Dentistry, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Missoula Peditric Dentistry, P.c. |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 3020 S Reserve St Ste 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: | 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 Peditric Dentistry, P.c. clinic are as mentioned below.
| NPI Number: | 1205183852 |
| NPI Enumeration Date: | 13 Aug, 2012 |
| NPI Last Update On: | 13 Aug, 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 Missoula Peditric Dentistry, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 4170 | Montana | Primary | |
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 Peditric Dentistry, P.c.
3020 S Reserve St Ste D,
Missoula, Montana |
| Zip: | 59801-7652 |
| Phone Number: | 406-541-7334 |
| Fax Number: | 406-541-7338 |
Patients can reach Missoula Peditric Dentistry, P.c. at
3020 S Reserve St Ste D, Missoula, Montana or can
call to book an appointment on 406-541-7334.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.