GREAT FALLS PEDIATRIC DENTISTRY, LLC
NPI 1922479047
Dentist - Pediatric Dentistry in Great Falls, MT

Active since October 15, 2015
1717 4TH ST S, GREAT FALLS, MT 59405(406) 449-0189(406) 449-7237 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Falls Pediatric Dentistry, Llc NPPES

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

GREAT FALLS PEDIATRIC DENTISTRY, LLC (NPI 1922479047) is a healthcare organization registered as a pediatric dentistry in Great Falls, Montana and active in the NPI registry since October 2015. The organization lists Kevin L Rencher, Dentist, as its authorized official.

NPPES Registry Identity

NPI1922479047
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGREAT FALLS PEDIATRIC DENTISTRY, LLC
Location Address1717 4TH ST SGreat Falls, MT 59405-4133
Mailing Address1717 4th St SGreat Falls, MT 59405-4133 · (406) 449-0189 · Fax (406) 449-7237
Fax(406) 449-7237
Organization SubpartNo
Authorized OfficialKevin L RencherDentist · (406) 449-0189
Enumeration DateOctober 15, 2015
NPI 1922479047 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 · 2145
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.
1717 4TH ST S, Great Falls, MT 59405

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

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1717 4TH ST S
GREAT FALLS, MT 59405

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 Great Falls Pediatric Dentistry, LLC's NPI number?

The NPI number for Great Falls Pediatric Dentistry, LLC is 1922479047. It was assigned to this organization in the NPPES registry on October 15, 2015.

Where is Great Falls Pediatric Dentistry, LLC located?

Great Falls Pediatric Dentistry, LLC is located at 1717 4th St S, Great Falls, MT 59405. The listed phone number is (406) 449-0189.

What is Great Falls Pediatric Dentistry, LLC'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 Great Falls Pediatric Dentistry, LLC was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.