Organization
MICHAEL G. STEVENS DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY ANN MCKINLEY (OFFICE MANAGER)
(406) 656-8300
Entity
Organization
Contact information
Practice address
2225 BROADWATER AVE STE 1, BILLINGS, MT 59102-4707
(406) 656-8300
Mailing address
2225 BROADWATER AVE STE 1, BILLINGS, MT 59102-4707
(406) 656-8300
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1715
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113356
—
MT
Enumeration date
09/27/2016
Last updated
09/27/2016
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