Organization · Type 2 NPI

Missoula Pediatric Dentistry, PLLC

Pediatric Dentistry · Missoula, MT

NPI number 1578993531 Active

Practice location

3020 S Reserve St, Suite D
Missoula, MT 59801-7652

Fax (406) 541-7338

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XMT2151 (MT)

Pediatric Dentistry: 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.

2 other providers at this address

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About NPI 1578993531

Missoula Pediatric Dentistry, PLLC's National Provider Identifier is 1578993531, issued on Nov 12, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Missoula, MT. The record was last updated on Nov 12, 2013.