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Individual

DR. STEVEN L SPAINHOWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
115 W KAGY BLVD, SUITE J, BOZEMAN, MT 59715-6027
(406) 587-4221
(406) 586-0555
Mailing address
115 W KAGY BLVD, SUITE J, BOZEMAN, MT 59715-6027
(406) 587-4221
(406) 586-0555

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1363
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0120159
MT
05
5510050
MT
01
55695
UNITED CONCORDIA-TRICARE
PA
Enumeration date
06/28/2006
Last updated
02/07/2011
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