Individual
CRAIG EUGENE STANNEBEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2132 BROADWATER AVE STE C, BILLINGS, MT 59102-4778
(406) 652-8782
(406) 652-8724
Mailing address
2132 BROADWATER AVE STE C, BILLINGS, MT 59102-4778
(406) 652-8782
(406) 652-8724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1895
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12-1160
—
MT
01
—
55-11145
CHIP
MT
Enumeration date
03/03/2007
Last updated
07/08/2007
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