OrganizationActive
Missoula Peditric Dentistry, P.C.
NPI 1205183852 · Pediatric Dentistry · Missoula, MT
Missoula Peditric Dentistry, P.C. is a Pediatric Dentistry organization in Missoula, MT (NPI 1205183852).
Provider details
- NPI number
- 1205183852
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Paul Tiede, Business Manager(406) 541-7334
- License
- 4170 (MT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3020 S Reserve St Ste D
Missoula, MT 59801-7652
Phone: (406) 541-7334
Fax: (406) 541-7338
Street-level locationGet directions
Mailing address
3020 S Reserve St Ste D
Missoula, MT 59801-7652
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2012-08-13
Frequently asked questions
- What is Missoula Peditric Dentistry, P.C.'s NPI number?
- Missoula Peditric Dentistry, P.C.'s National Provider Identifier (NPI) is 1205183852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Missoula Peditric Dentistry, P.C.?
- Missoula Peditric Dentistry, P.C. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Missoula Peditric Dentistry, P.C. located?
- Missoula Peditric Dentistry, P.C.'s practice location on file with NPPES is 3020 S Reserve St Ste D, Missoula, MT 59801-7652.
- What is Missoula Peditric Dentistry, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Missoula Peditric Dentistry, P.C. is (406) 541-7334.
- Who is the authorized official for Missoula Peditric Dentistry, P.C.?
- The authorized official listed on Missoula Peditric Dentistry, P.C.'s NPPES record is Paul Tiede, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Missoula Peditric Dentistry, P.C.'s NPI active?
- Yes — Missoula Peditric Dentistry, P.C.'s NPI (1205183852) is active in the NPPES registry as of the last update on 2012-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.