MISSOULA PEDIATRIC DENTISTRY, PLLC is a pediatric dentistry dentist in Missoula, MT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MISSOULA PEDIATRIC DENTISTRY, PLLC NPI is 1578993531. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3020 S RESERVE ST
SUITE D
MISSOULA, MT
ZIP 59801-652
Phone: (406) 541-7334
Fax: (406) 541-7338
The provider's authorized official is Paul Leonard Tiede .
The authorized official title is Business Manager and has the following contact phone number (406) 541-7334.
The enumeration date for this NPI number is 11/12/2013 and was last updated on 11/12/2013.