Individual
DR. J STEPHEN WIBBELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15 1ST ST NE, CHOTEAU, MT 59422-0990
(406) 466-5662
(406) 466-5662
Mailing address
15 1ST ST NE, BOX 990, CHOTEAU, MT 59422-0990
(406) 466-5662
(406) 466-5662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1436
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-9353
—
MT
Enumeration date
07/12/2006
Last updated
07/08/2007
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