# STEVENS DENTAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sheridan Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235396383
- **Authorized official:** DR. MONTE STEVENS DDS (OWNER)
- **Authorized official phone:** (406) 765-2700

## Contact information

- **Practice address:** 223 N MAIN ST, PLENTYWOOD, MT 59254-1843
- **Practice address phone:** (406) 765-2700
- **Mailing address:** 223 N MAIN ST, PLENTYWOOD, MT 59254-1843
- **Mailing address phone:** (406) 765-2700
- **Mailing address fax:** (406) 765-1514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2008
- **Last updated:** 08/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0116792 | — | MT |
