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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISA04, LLC

Active Organization

MISA04, LLC is a General Dentistry organization located in MISSOULA, Montana. NPI 1588366611 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MISSOULA, MT

Registration Details

NPI Number
1588366611
Provider Type
Organization
NPI Issued
Mar 21, 2023 (3.4129522094297 yrs)
Last Updated
Mar 21, 2023

Practice Information

Address
3020 S RESERVE ST
MISSOULA, MT, 598017652
Browse MT providers · Browse ZIP 59801
Phone
4066975756
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in MISSOULA, MT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.