Organization
MISSOULA ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA N SWANSON (PRACTICE MANAGER)
(406) 542-1600
Entity
Organization
Contact information
Practice address
705 S RESERVE ST, MISSOULA, MT 59801-2117
(406) 542-1600
Mailing address
705 S RESERVE ST, MISSOULA, MT 59801-2117
(406) 542-1600
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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