Walters, Stephen Phillip

Walters, Stephen Phillip is an sole proprietor health care provider with primary practice located at 25 Discovery Dr , Butte MT 59701. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Walters, Stephen Phillip can be contacted via phone (406) 782-7200.

Contact Information

Primary practice address
25 Discovery Dr Butte MT 59701
Fax: (406) 782-7201
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2101 Montana

Profile Details

NPI number 1457476194
LBN Legal business name Walters, Stephen Phillip
Credentials DMD MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jan 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457476194 NPPES
Montana Other 4571500 DENTIST

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