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MISSOULA PEDITRIC DENTISTRY, P.C.
NPI 1205183852
Dentist - Pediatric Dentistry in Missoula, MT

Active since August 13, 2012
3020 S RESERVE ST STE D, MISSOULA, MT 59801(406) 541-7334(406) 541-7338 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Missoula Peditric Dentistry, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOULA PEDITRIC DENTISTRY, P.C. (NPI 1205183852) is a healthcare organization registered as a pediatric dentistry in Missoula, Montana and active in the NPI registry since August 2012. The organization lists Paul Leonard Tiede, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1205183852
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMISSOULA PEDITRIC DENTISTRY, P.C.
Location Address3020 S RESERVE ST STE DMissoula, MT 59801-7652
Mailing Address3020 S Reserve St Ste DMissoula, MT 59801-7652 · (406) 541-7334 · Fax (406) 541-7338
Phone(406) 541-7334
Fax(406) 541-7338
Organization SubpartNo
Authorized OfficialPaul Leonard TiedeBusiness Manager · (406) 541-7334
Enumeration DateAugust 13, 2012
✔ NPI 1205183852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MT · 4170
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3020 S RESERVE ST STE D, Missoula, MT 59801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. APRIL MARIE NELSON FOSTER DDS
Dentist (Pediatric Dentistry)
3020 S RESERVE ST STE D
MISSOULA, MT 59801
Missoula County (406) 541-7334
DR. SUSAN BON TIEDE D.D.S.
Dentist (Pediatric Dentistry)
3020 S RESERVE ST STE D, SUITE B
MISSOULA, MT 59801
Missoula County (406) 541-7334
DEREK CHARLES METTENBRINK DDS
Dentist (Pediatric Dentistry)
3020 S RESERVE ST STE D
MISSOULA, MT 59801
Missoula County (406) 541-7337
DR. ELIF PRYOR DDS
Dentist (General Practice)
3020 S RESERVE ST STE D
MISSOULA, MT 59801
Missoula County (406) 541-7337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Missoula Peditric Dentistry, P.C.'s NPI number?

The NPI number for Missoula Peditric Dentistry, P.C. is 1205183852. It was assigned to this organization in the NPPES registry on August 13, 2012.

Where is Missoula Peditric Dentistry, P.C. located?

Missoula Peditric Dentistry, P.C. is located at 3020 S Reserve St Ste D, Missoula, MT 59801. The listed phone number is (406) 541-7334.

What is Missoula Peditric Dentistry, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Missoula Peditric Dentistry, P.C. was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.