Missoula Pediatric Dentistry, PLLC
NPI 1578993531ActiveOrganization· Dentist, Pediatric Dentistry· Missoula, MT
Dentist, Pediatric Dentistry in Missoula, Montana, registered in NPPES in November 2013. The authorized official on file is Paul Leonard Tiede, Business Manager.
Overview
| NPI | 1578993531 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2013 |
| Last updated in NPPES | Nov 12, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | MT2151 | 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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