Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Misa04, LLC

Organization General Practice Dentistry · NPI 1588366611

Misa04, LLC is a General Practice Dentistry in Missoula, Montana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3020 S Reserve St
Missoula, MT 59801-7652
Phone: (406) 697-5756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1588366611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Winterholler — Owner · (406) 697-5756
NPI enumeratedMarch 21, 2023
Last updated in NPPESMarch 21, 2023
Certification dateMarch 16, 2023
Mailing address683 Henry Chapple St, Billings, MT 59106-1839

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