Provider Demographics
NPI:1134147515
Name:CULP, STEPHEN F (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:F
Last Name:CULP
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 DAYTON ST SW
Mailing Address - Street 2:
Mailing Address - City:RONAN
Mailing Address - State:MT
Mailing Address - Zip Code:59864-3005
Mailing Address - Country:US
Mailing Address - Phone:406-676-7600
Mailing Address - Fax:406-676-2336
Practice Address - Street 1:20 DAYTON ST SW
Practice Address - Street 2:
Practice Address - City:RONAN
Practice Address - State:MT
Practice Address - Zip Code:59864-3005
Practice Address - Country:US
Practice Address - Phone:406-676-7600
Practice Address - Fax:406-676-2336
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT14151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice