Individual provider · Type 1 NPI
Derek Charles Mettenbrink, DDS
Pediatric Dentistry · Missoula, MT
NPI number
1629636097
Active
Practice location
3020 S Reserve St Ste D
Missoula, MT 59801-7652
Mailing address
4256 Diagon Ln
Missoula, MT 59808-5306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 7535 (NE) |
| Pediatric Dentistry | 1223P0221X | DEN-DEN-LIC-19245 (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.
4 other providers at this address
Other pediatric dentistry providers in Missoula
- John William Loberg, DMDPediatric Dentistry Missoula, MT NPI 1235487851
- April Marie Nelson Foster, DDSPediatric Dentistry Missoula, MT NPI 1356549646
- Darby Joel Lefler, D.M.DPediatric Dentistry Missoula, MT NPI 1518265636
- Susan Bon Tiede, DDSPediatric Dentistry Missoula, MT NPI 1558308221
- Joseph B. Hylton, DDSPediatric Dentistry Missoula, MT NPI 1689719320
About NPI 1629636097
Derek Charles Mettenbrink, DDS's National Provider Identifier is 1629636097, issued on May 31, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Missoula, MT. The record was last updated on Jan 7, 2022.