Active NPI
Stevens Dental Group, PC
Doing business as Sheridan Dental Clinic
- General Practice Dentistry
- Plentywood, MT
National Provider Identifier
1235396383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- STEVENS DENTAL GROUP, PC
- Doing business as
- Sheridan Dental Clinic
- Practice address
- 223 N Main St
Plentywood, MT 59254-1843 - Phone
- (406) 765-2700
- NPI assigned
- May 16, 2008
- Last updated
- Aug 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monte Stevens, DDS
- Title
- Owner
- Phone
- (406) 765-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
223 N Main St
Plentywood, MT 59254-1843
Mailing address
223 N Main St
Plentywood, MT 59254-1843
Phone (406) 765-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116792 | Medicaid | MT |
Other names 1
- Sheridan Dental Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Cavalier Dental Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cavalier Dental Clinic
- General Practice Dentistry
- Cavalier, ND
- NPI 1447536578
Locations
223 N Main St
Plentywood, MT 59254
Phone (406) 765-2700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281571200000",
"number": "1235396383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 N MAIN ST",
"city": "PLENTYWOOD",
"state": "MT",
"postal_code": "592541843",
"telephone_number": "406-765-2700",
"fax_number": "406-765-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 N MAIN ST",
"city": "PLENTYWOOD",
"state": "MT",
"postal_code": "592541843",
"telephone_number": "406-765-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVENS DENTAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-16",
"last_updated": "2010-08-12",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "MONTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-765-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0116792",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sheridan Dental Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Plentywood, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.