OrganizationActive
Misa04, LLC
NPI 1588366611 · General Practice Dentistry · Missoula, MT
Misa04, LLC is a General Practice Dentistry organization in Missoula, MT (NPI 1588366611).
Provider details
- NPI number
- 1588366611
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- William Winterholler, Owner(406) 697-5756
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Missoula, MT 59801-7652
Phone: (406) 697-5756
Street-level locationGet directions
Mailing address
683 Henry Chapple St
Billings, MT 59106-1839
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2023-03-21
- Certified
- 2023-03-16
Frequently asked questions
- What is Misa04, LLC's NPI number?
- Misa04, LLC's National Provider Identifier (NPI) is 1588366611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Misa04, LLC?
- Misa04, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Misa04, LLC located?
- Misa04, LLC's practice location on file with NPPES is 3020 S Reserve St, Missoula, MT 59801-7652.
- What is Misa04, LLC's phone number?
- The practice phone number listed in the NPPES registry for Misa04, LLC is (406) 697-5756.
- Who is the authorized official for Misa04, LLC?
- The authorized official listed on Misa04, LLC's NPPES record is William Winterholler, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Misa04, LLC's NPI active?
- Yes — Misa04, LLC's NPI (1588366611) is active in the NPPES registry as of the last update on 2023-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.