Steven Eliot Delisle, DDS
Individual provider Active NPI Dentist · Lolo, MT
NPI 1639329337 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1639329337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11540 (MT)
- Practice address
- 116 Glacier Dr Ste 107
Lolo, MT 59847-9343 - Phone
- (406) 515-9655
- NPI assigned
- Sep 30, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5929 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana Childrens Dentistry PLLC | Dentist | Current |
Accepting new patients |
Locations
116 Glacier Dr
Ste 107
Lolo, MT 59847
Phone (406) 284-8669
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 11540 | MT | |
| Dentist | 122300000X | 11540 | MT | Yes |
Addresses
Primary practice location
116 Glacier Dr Ste 107
Lolo, MT 59847-9343
Mailing address
116 Glacier Dr Ste 107
Lolo, MT 59847-9343
Phone (406) 515-9655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11540 | Other | MT | DENTAL LICENSE |
| 7848 | Other | AZ | STATE DENTAL LICENSE |
| 56563 | Other | CA | STATE LICENSE |
| 5929 | Other | NV | DENTAL LICENSE |
Other providers in Lolo, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.