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Organization

STEVENS DENTAL GROUP, PC

Active
Other names
Sheridan Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MONTE STEVENS DDS (OWNER)
(406) 765-2700
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0116792
MT
Enumeration date
05/16/2008
Last updated
08/12/2010
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