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

MISSOULA PEDIATRIC DENTISTRY PC

Active Organization

MISSOULA PEDIATRIC DENTISTRY PC is a Pediatric Dentistry organization located in MISSOULA, Montana. NPI 1942483524 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · MISSOULA, MT

Registration Details

NPI Number
1942483524
Provider Type
Organization
NPI Issued
Dec 6, 2007 (18.651320284842 yrs)
Last Updated
Jan 31, 2014
Licenses
MT2229 (MT)
MT2212 (MT)
MT2151 (MT)

Practice Information

Address
1300 SOUTH RESERVE ST
SUITE B
MISSOULA, MT, 59801
Browse MT providers · Browse ZIP 59801
Phone
4065417334
Fax
4065417338
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
General Dentistry
Additional Specialty
Pediatric Dentistry

Other Pediatric 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.