Individual provider Active NPI

Michael Wayne Stuart, DDS

  • General Practice Dentistry
  • Butte, MT
National Provider Identifier
1669478772
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1882 Issued in MT
Practice address
445 Centennial Ave
Butte, MT 59701-2870
Phone
(406) 496-6007
Fax
(406) 496-6035
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1882 MT Primary

Addresses

Primary practice location

445 Centennial Ave
Butte, MT 59701-2870

Mailing address

3737 Grand Ave Ste 8
Billings, MT 59102-6258
Phone (406) 248-4669

Other practice location 1

3737 Grand Ave Ste 8
Billings, MT 59102-6258
Phone (406) 248-4669

Other practice location 2

122 E Glendale St
Dillon, MT 59725-2506
Phone (406) 988-0266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721002042 MT Practitioner - Dentist 2860908514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1882MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wlsi Legacy Smiles CurrentSince May 1, 2023 Accepting new patients
Legacy Smiles International General Practice Current Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc CurrentSince May 23, 2025 Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc Current Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc CurrentSince May 23, 2025 Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc Past Accepting new patients

Locations

3737 Grand Ave
Ste 8
Billings, MT 59102
Phone (406) 248-2669

445 Centennial Ave
Butte, MT 59701
Phone (406) 723-4075

125 E Glendale St
Dillon, MT 59725
Phone (406) 683-2316

Interoperability endpoints

  • Direct secure messaging: mstuart807592@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1669478772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 GRAND AVE STE 8",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026258",
            "telephone_number": "406-248-4669",
            "fax_number": "406-245-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-496-6007",
            "fax_number": "406-496-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Grand Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591026258",
            "country_code": "US",
            "telephone_number": "406-248-4669",
            "fax_number": "406-245-6304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 E Glendale St",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "MT",
            "postal_code": "597252506",
            "country_code": "US",
            "telephone_number": "406-988-0266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.