| Dr Susan Bon Tiede, DDS | |
|
3020 S Reserve St Ste D, Suite B, Missoula, MT 59801-7652 | |
| (406) 541-7334 | |
| (406) 541-7338 |
| Full Name | Dr Susan Bon Tiede |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3020 S Reserve St Ste D, Missoula, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558308221 | NPI | - | NPPES |
| 0113191 | Medicaid | MT | |
| 1942483524 | Other | MT | OFFICE NATIONAL PROVIDER IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5820 (Nebraska) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 2151 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Bon Tiede, DDS 3020 S Reserve St Ste D, Missoula, MT 59801-7652 Ph: (406) 541-7337 | Dr Susan Bon Tiede, DDS 3020 S Reserve St Ste D, Suite B, Missoula, MT 59801-7652 Ph: (406) 541-7334 |
Dr. Joseph Anthony Petrino, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 705 S Reserve St, Missoula, MT 59801 Phone: 406-542-1600 Fax: 406-542-8945 | |
Dr. D Briar Diggs, DDS MSD PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 521 Sw Higgins Ave, Missoula, MT 59803 Phone: 406-728-0397 Fax: 406-549-4483 | |
Dr. Matthew L Heaphy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 712 Kensington Ave, Missoula, MT 59801 Phone: 406-543-8347 Fax: 406-543-8650 | |
Stuart W Allyn, DDS, MD Dentist Medicare: Medicare Enrolled Practice Location: 805 S Reserve St, Missoula, Mt, Missoula, MT 59801 Phone: 406-549-6600 | |
Dr. Ryan Keith Huckeby, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1227 S Higgins Ave, Missoula, MT 59801 Phone: 406-728-9442 | |
Dr. Jason C Olsen, D.D.S., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 715 W Central Ave, Missoula, MT 59801 Phone: 406-728-2840 Fax: 406-728-3083 | |
Dr. Kyle Patrick Goroski, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1227 S Higgins Ave, Missoula, MT 59801 Phone: 406-728-9442 Fax: 406-728-0580 |