Individual
STEPHEN BLAINE SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
710 S 1ST ST # 1, HAMILTON, MT 59840-3014
(316) 347-4729
Mailing address
323 MCCLELLAN CREEK RD, CLANCY, MT 59634-9652
(316) 347-4729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-19328
MT
Other
Enumeration date
06/10/2020
Last updated
07/14/2020
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