# MICHAEL G. STEVENS DDS, PC

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

## Provider details

- **NPI number:** 1902355357
- **Authorized official:** CATHY ANN MCKINLEY (OFFICE MANAGER)
- **Authorized official phone:** (406) 656-8300

## Contact information

- **Practice address:** 2225 BROADWATER AVE STE 1, BILLINGS, MT 59102-4707
- **Practice address phone:** (406) 656-8300
- **Mailing address:** 2225 BROADWATER AVE STE 1, BILLINGS, MT 59102-4707
- **Mailing address phone:** (406) 656-8300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 1715 | MT | Yes |

## Other

- **Enumeration date:** 09/27/2016
- **Last updated:** 09/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0113356 | — | MT |
