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

Missoula Pediatric Dentistry PC

Organization General Practice Dentistry · NPI 1942483524

Missoula Pediatric Dentistry PC is a General Practice Dentistry in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2007.

Licensed in
MT
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 S Reserve St Ste B
Missoula, MT 59801
Phone: (406) 541-7334
Fax: (406) 541-7338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence MT2151 (MT)
General Practice Dentistry Taxonomy 1223G0001X · Licence MT2229 (MT)
General Practice Dentistry Taxonomy 1223G0001X · Licence MT2212 (MT)

Record details

NPI number1942483524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Tiede — Business Manager · (406) 541-7334
NPI enumeratedDecember 6, 2007
Last updated in NPPESJanuary 31, 2014
Mailing address1300 South Reserve St, Suite B, Missoula, MT 59801

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