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

Missoula Pediatric Dentistry, PLLC

Organization Pediatric Dentistry · NPI 1578993531

Missoula Pediatric Dentistry, PLLC provides Pediatric Dentistry in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2013.

Licensed in
MT
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3020 S Reserve St Ste D
Missoula, MT 59801-7652 Not confirmed with CMS for 12 years — call before visiting
Phone: (406) 541-7334
Fax: (406) 541-7338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence MT2151 (MT)

Record details

NPI number1578993531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Tiede — Business Manager · (406) 541-7334
NPI enumeratedNovember 12, 2013
Last updated in NPPESNovember 12, 2013
Mailing address3020 S Reserve St, Suite D, Missoula, MT 59801-7652

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