# STEVENS DENTAL GROUP

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

## Provider details

- **NPI number:** 1447536578
- **Authorized official:** DR. STERLING R STEVENS DDS (OWNER)
- **Authorized official phone:** (701) 265-8777

## Contact information

- **Practice address:** 202 EAST 3RD AVENUE SOUTH, CAVALIER, ND 58220
- **Practice address phone:** (701) 265-8777
- **Practice address fax:** (701) 265-8778
- **Mailing address:** PO BOX 635, CAVALIER, ND 58220-0635
- **Mailing address phone:** (701) 265-8777
- **Mailing address fax:** (701) 265-8778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2100 | ND | Yes |

## Other

- **Enumeration date:** 11/03/2011
- **Last updated:** 11/03/2011