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DR. SUSAN BON TIEDE D.D.S.
NPI 1558308221
Dentist - Pediatric Dentistry in Missoula, MT

Active since June 01, 2006
3020 S RESERVE ST STE D, SUITE B, MISSOULA, MT 59801(406) 541-7334(406) 541-7338 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susan Bon Tiede D.d.s. NPPES

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

DR. SUSAN BON TIEDE D.D.S. (NPI 1558308221) is an individual pediatric dentistry provider in Missoula, Montana, licensed in Montana (2151) and active in the NPI registry since June 2006. She maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1558308221
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SUSAN BON TIEDECredential: D.D.S.
Location Address3020 S RESERVE ST STE D, SUITE BMissoula, MT 59801-7652
Mailing Address3020 S Reserve St Ste DMissoula, MT 59801-7652 · (406) 541-7337 · Fax (406) 541-7338
Phone(406) 541-7334
Fax(406) 541-7338
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
✔ NPI 1558308221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in MT · 2151✔ Licensed in NE · 5820
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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Secondary Practice Location 1

Location 12109 Cuming StOmaha, NE 68102-4325 · Phone (402) 280-5990 · Fax (402) 280-5013

Other Identifiers 2

Medicaid0113191MT
Other1942483524MT · Office National Provider Identifier

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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.

MISSOULA PEDITRIC DENTISTRY, P.C.
Dentist (Pediatric Dentistry)
3020 S RESERVE ST STE D
MISSOULA, MT 59801
Missoula County (406) 541-7334
DR. APRIL MARIE NELSON FOSTER DDS
Dentist (Pediatric Dentistry)
3020 S RESERVE ST STE D
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 Susan Tiede's NPI number?

The NPI number for Susan Tiede is 1558308221. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Susan Tiede located?

Susan Tiede practices at 3020 S Reserve St Ste D Suite B, Missoula, MT 59801. The listed phone number is (406) 541-7334.

What is Susan Tiede's specialty?

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

What insurance does Susan Tiede accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Susan Tiede as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Tiede was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.