John William Loberg, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21608 Issued in MT

Practice address

1009 S Reserve St
Missoula, MT 59801-3140

Phone

(406) 549-2395

NPI assigned

Aug 29, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Dentistry of the Rockies

  • Pediatric Dentistry
  • Missoula, MT
  • NPI 1790939932
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1235487851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013140",
            "telephone_number": "406-549-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013140",
            "telephone_number": "406-549-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBERG",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MT",
            "license": "21608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Well Occupational Therapy
• Living Garden Counseling, LLC
• Marisa Renee Llamas
• Denise Rosetta Llovet, FNP CNM MSN
• Cassidy R Lloyd
• Meagan Locke, LCSW
• Pamela S Lockwood, RD
• Bailey Amber Lodato, PT, DPT
• C Paul Loehnen, MD
• Logan Cook Counseling, PLLC

• Pediatric Dentistry in Missoula, MT
• Providers in Missoula, MT by specialty
• Pediatric Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.