# STEBBINS DENTAL STUDIO, INC.

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

## Provider details

- **NPI number:** 1376929083
- **Authorized official:** DR. MANDREA LYNN STEBBINS D.M.D. (OWNER)
- **Authorized official phone:** (406) 862-3503

## Contact information

- **Practice address:** 401 BAKER AVE STE A, WHITEFISH, MT 59937-2499
- **Practice address phone:** (406) 862-3503
- **Mailing address:** PO BOX 517, WHITEFISH, MT 59937-0517
- **Mailing address phone:** (406) 862-3503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | — | — |

## Other

- **Enumeration date:** 08/04/2015
- **Last updated:** 11/14/2024