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Missoula Pediatric Dentistry Pc
Pediatric Dentist in Missoula, Montana
NPI 1942483524

Missoula Pediatric Dentistry Pc is a Pediatric Dentist based in Missoula, MT and is specialized in Pediatric Dentistry. Missoula Pediatric Dentistry Pc practices in Missoula, MT. The NPI Number for Missoula Pediatric Dentistry Pc is 1942483524 and holds a License No. MT2229 (Montana).

The current practice location address for Missoula Pediatric Dentistry Pc is 1300 South Reserve St, Missoula, MT and can be reached out via phone at 406-541-7334 and via fax at 406-541-7338.

Location: 1300 South Reserve St, Missoula, MT, 59801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942483524
Provider Name
Missoula Pediatric Dentistry Pc
Credential
Provider Entity Type
Organization
Address
1300 South Reserve St, Missoula, MT, 59801
Phone Number
406-541-7334
Fax Number
406-541-7338
Provider Enumeration Date
12/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558308221 05 MT
5512641 01 MT CHIPS
institution
Provider Business Practice Location Address Details
Address
1300 South Reserve St
City
Missoula
State
Montana
Zip
59801
Phone Number
406-541-7334
Fax Number
406-541-7338
person
Provider Business Mailing Address Details
Address
1300 South Reserve St
City
Missoula
State
Montana
Zip
59801
Phone Number
406-541-7334
Fax Number
406-541-7338
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
MT2212 (Montana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
MT2229 (Montana)
Definition
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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