Individual
KIERSTIN ELIZABETH SHAHTOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2000 MAPLE ST STE 100, MISSOULA, MT 59808-2089
(406) 919-6141
Mailing address
7114 SHAVER DR UNIT A, MISSOULA, MT 59803-8505
(406) 788-0848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-30828
MT
Other
Enumeration date
05/27/2024
Last updated
07/08/2025
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