3 RIVERS PEDIATRIC DENTISTRY
NPI 1578081428
Dentist - Pediatric Dentistry in Missoula, MT

Active since August 30, 2017
2680 WASHBURN ST., MISSOULA, MT 59801(406) 393-3773(406) 926-2671 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 8, 2021, Aug 30, 2017 (2 updates tracked since 2017).

About 3 Rivers Pediatric Dentistry NPPES

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

3 RIVERS PEDIATRIC DENTISTRY (NPI 1578081428) is a healthcare organization registered as a pediatric dentistry in Missoula, Montana and active in the NPI registry since August 2017. The organization lists Angella Marie Winters, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1578081428
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business Name3 RIVERS PEDIATRIC DENTISTRY
Location Address2680 WASHBURN ST.Missoula, MT 59801-7831
Mailing Address2680 Washburn St.Missoula, MT 59801-7831 · (406) 393-3773 · Fax (406) 926-2671
Fax(406) 926-2671
Organization SubpartNo
Authorized OfficialAngella Marie WintersPractice Manager · (406) 393-3773
Enumeration DateAugust 30, 2017
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
NPI 1578081428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.

2680 WASHBURN ST., Missoula, MT 59801

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578081428, enumerated as an "organization" on August 30, 2017.

The provider is located at 2680 WASHBURN ST. MISSOULA, MT 59801 and the phone number is (406) 393-3773.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.