MISSOULA PEDIATRIC DENTISTRY PC
NPI 1942483524
Dentist - Pediatric Dentistry in Missoula, MT

Q: What is Missoula Pediatric Dentistry PC's NPI number?

The NPI number for Missoula Pediatric Dentistry PC is 1942483524. It was assigned to this organization in the NPPES registry on December 6, 2007.

Q: What is Missoula Pediatric Dentistry PC's specialty?

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

Active since December 06, 2007

1300 SOUTH RESERVE ST, SUITE B, MISSOULA, MT 59801(406) 541-7334(406) 541-7338 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Missoula Pediatric Dentistry Pc NPPES

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

MISSOULA PEDIATRIC DENTISTRY PC (NPI 1942483524) is a healthcare organization registered as a pediatric dentistry in Missoula, Montana and active in the NPI registry since December 2007. The organization lists Paul Leonard Tiede, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1942483524

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMISSOULA PEDIATRIC DENTISTRY PC

Location Address1300 SOUTH RESERVE ST, SUITE BMissoula, MT 59801

Mailing Address1300 South Reserve St, Suite BMissoula, MT 59801 · (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 DateDecember 6, 2007

Last NPPES UpdateJanuary 31, 2014

✔ NPI 1942483524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in MT · MT2151

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License MT2229 (MT), MT2212 (MT)

1300 SOUTH RESERVE ST, Missoula, MT 59801

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Other Identifiers 2

Medicaid1558308221MT

Other5512641MT · Chips

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 NPPES & CMS

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

What is Missoula Pediatric Dentistry PC's NPI number?

The NPI number for Missoula Pediatric Dentistry PC is 1942483524. It was assigned to this organization in the NPPES registry on December 6, 2007.

Where is Missoula Pediatric Dentistry PC located?

Missoula Pediatric Dentistry PC is located at 1300 South Reserve St Suite B, Missoula, MT 59801. The listed phone number is (406) 541-7334.

What is Missoula Pediatric Dentistry PC'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 Pediatric Dentistry PC was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.