Mandrea Lynn Stebbins, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2329 Issued in MT

Practice address

401 Baker Ave
Whitefish, MT 59937-2499

Phone

(406) 862-3503

Fax

(406) 862-4889

NPI assigned

Apr 4, 2007

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Stebbins Dental Studio, Inc.

  • Dentist
  • Whitefish, MT
  • NPI 1376929083
  NPD Authorized official
• Eric Daniels DDS

  • General Practice Dentistry
  • Whitefish, MT
  • NPI 1417177635
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1760504484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599370517",
            "telephone_number": "406-862-3503",
            "fax_number": "406-862-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BAKER AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372499",
            "telephone_number": "406-862-3503",
            "fax_number": "406-862-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "MANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "2329",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760504484",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD1142",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasna Stafford, M.A.
• Kara Leighanna Stansbury, LCPC, LMFT
• Kyle Stansbury, LCSW
• Star Meadows Rural Fire District
• Stebbins Dental Studio, Inc.
• Stillpoint Acupuncture LLC
• Stillwater Behavioral Health
• Jenny Streich, FNP-BC
• Arlene Louise Strouss, RN
• Grace Linda Subatch, MSW - LCSW

• General Practice Dentistry in Whitefish, MT
• Providers in Whitefish, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.