Organization · Type 2 NPI

Missoula Pediatric Dentistry PC

Pediatric Dentistry · Missoula, MT

NPI number 1942483524 Active

Practice location

1300 South Reserve St, Suite B
Missoula, MT 59801

Call (406) 541-7334 Map

Fax (406) 541-7338

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XMT2229 (MT)
General Practice Dentistry 1223G0001XMT2212 (MT)
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.

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About NPI 1942483524

Missoula Pediatric Dentistry PC's National Provider Identifier is 1942483524, issued on Dec 6, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Missoula, MT. The record was last updated on Jan 31, 2014.