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General NPI Number Information
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NPI Number | 1063235364
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Entity Type | Organization
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Legal Business Name | MONTE C. STEVENS DDS PC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 223 N MAIN ST
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City | PLENTYWOOD
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State | MT
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Zip | 59254-1843
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Country | US
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Telephone | 407-765-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 223 N MAIN ST
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City | PLENTYWOOD
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State | MT
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Zip | 59254-1843
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | LAMONT STEVENS
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Credential | DDS
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Telephone | 406-839-3148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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