Missoula Peditric Dentistry, P.C.
NPI 1205183852ActiveOrganization· Dentist, Pediatric Dentistry· Missoula, MT
Dentist, Pediatric Dentistry in Missoula, Montana, registered in NPPES in August 2012. The authorized official on file is Paul Leonard Tiede, Business Manager.
Overview
| NPI | 1205183852 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2012 |
| Last updated in NPPES | Aug 13, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 4170 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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