MEDICARE: DR. ADAM RICHARD STUTTS D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2440	MT

General Provider Information

NPI Number	:	1376868927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM RICHARD STUTTS D.D.S.

Provider Business Mailing Address
First Line	:	610 BOARDWALK AVE STE 201
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-4179
Country	:	US
Telephone Number	:	406-582-8010
Fax Number	:	406-582-5183

Provider Business Practice Location Address
First Line	:	610 BOARDWALK AVE
Second Line	:	STE 201
City	:	BOZEMAN
State	:	MT
Zip	:	59718
Country	:	US
Telephone Number	:	406-582-8010
Fax Number	:	406-582-5183

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	03/02/2026

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