MISSOULA PEDIATRIC DENTISTRY PC 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 PC NPI is 1942483524. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1300 SOUTH RESERVE ST
SUITE B
MISSOULA, MT
ZIP 59801
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 12/6/2007 and was last updated on 1/31/2014.