3 Rivers Pediatric Dentistry
Organization Active NPI Pediatric Dentistry · Missoula, MT
NPI 1578081428 · NPPES record last updated Feb 8, 2021
Key facts
- NPI
- 1578081428
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- 3 RIVERS PEDIATRIC DENTISTRY
- Practice address
- 2680 Washburn St.
Missoula, MT 59801-7831 - Phone
- (406) 393-3773
- Fax
- (406) 926-2671
- NPI assigned
- Aug 30, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Angella Marie Winters
- Title
- Practice Manager
- Phone
- (406) 393-3773
National Provider Directory
Locations
2680 Washburn St
Missoula, MT 59801
Phone (406) 393-3773
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
2680 Washburn St.
Missoula, MT 59801-7831
Mailing address
2680 Washburn St.
Missoula, MT 59801-7831
Phone (406) 393-3773
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All providers in Missoula, MT · Pediatric Dentistry in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.