# MISSOULA ENDODONTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831034701
- **Authorized official:** KRISTA N SWANSON (PRACTICE MANAGER)
- **Authorized official phone:** (406) 542-1600

## Contact information

- **Practice address:** 705 S RESERVE ST, MISSOULA, MT 59801-2117
- **Practice address phone:** (406) 542-1600
- **Mailing address:** 705 S RESERVE ST, MISSOULA, MT 59801-2117
- **Mailing address phone:** (406) 542-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |
| 1223P0300X | Periodontics | — | — | — |

## Other

- **Enumeration date:** 04/20/2026
- **Last updated:** 04/20/2026