Dr. Susan Bon Tiede is a Missoula, Montana based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Susan Bon Tiede is 2151 for Pediatric Dentistry in Montana. Her current practice location is 3020 S Reserve St Ste D, Suite B, Missoula. Patients can reach her at 406-541-7334.
Dr. Susan Bon Tiede 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 Profile:
Dr. Susan Bon Tiede speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Susan Bon Tiede
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
3020 S Reserve St Ste D, Suite B, Missoula, Montana, 59801-7652
Phone:
406-541-7334
Fax:
406-541-7338
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 are as mentioned below.
NPI Number:
1558308221
NPI Enumeration Date:
01 Jun, 2006
NPI Last Update On:
05 Oct, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Susan Bon Tiede are as mentioned below.
License Number
Specialization
State
Status
2151
Pediatric Dentistry
Montana
Primary
5820
Pediatric Dentistry
Nebraska
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Susan Bon Tiede such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0113191
Medicaid
Montana
1942483524
Other
Montana
OFFICE NATIONAL PROVIDER IDENTIFIER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3020 S Reserve St Ste D, Missoula, Montana
Zip:
59801-7652
Phone Number:
406-541-7337
Fax Number:
406-541-7338
Patients can reach Dr. Susan Bon Tiede at 3020 S Reserve St Ste D, 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 11 March, 2024.