Individual
DR. STEPHEN PHILLIP WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
25 DISCOVERY DR, BUTTE, MT 59701
(406) 782-7200
(406) 782-7201
Mailing address
25 DISCOVERY DR, BUTTE, MT 59701
(406) 782-7200
(406) 782-7201
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2101
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4571500
DENTIST
MT
Enumeration date
03/20/2007
Last updated
01/17/2019
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