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NPI Code Detail

MEDICARE: DR. MICHAEL WAYNE STUART DDS

MEDICARE: DR. MICHAEL WAYNE STUART DDS
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
11223G0001XGeneral Practice Dentistry1882MT

General Provider Information

NPI Number : 1669478772
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL WAYNE STUART DDS
Provider Business Mailing Address
First Line : 3737 GRAND AVE STE 8
Second Line :
City : BILLINGS
State : MT
Zip : 59102-6258
Country : US
Telephone Number : 406-248-4669
Fax Number : 406-245-6304
Provider Business Practice Location Address
First Line : 445 CENTENNIAL AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-2870
Country : US
Telephone Number : 406-496-6007
Fax Number : 406-496-6035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 06/12/2025

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