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

Missoula Peditric Dentistry, PC

Organization Pediatric Dentistry · NPI 1205183852

Missoula Peditric Dentistry, PC is a Pediatric Dentistry in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2012.

Licensed in
MT
In the registry since
2012
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

3020 S Reserve St Ste D
Missoula, MT 59801-7652
Phone: (406) 541-7334
Fax: (406) 541-7338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 4170 (MT)

Record details

NPI number1205183852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Tiede — Business Manager · (406) 541-7334
NPI enumeratedAugust 13, 2012
Last updated in NPPESAugust 13, 2012
Mailing address3020 S Reserve St Ste D, Missoula, MT 59801-7652

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