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STEPHEN DAVIDSON DDS
NPI 1417006776
Dentist - General Practice in Libby, MT

Active since January 09, 2007PECOS Enrolled
200 CALIFORNIA AVE, LIBBY, MT 59923(406) 293-7778(406) 293-2630 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen Davidson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN DAVIDSON DDS (NPI 1417006776) is an individual general practice provider in Libby, Montana, licensed in Montana (1808) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417006776
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSTEPHEN DAVIDSONCredential: DDS
Location Address200 CALIFORNIA AVELibby, MT 59923-1936
Mailing Address200 California AveLibby, MT 59923-1936 · (406) 290-7778 · Fax (406) 293-2630
Phone(406) 293-7778
Fax(406) 293-2630
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417006776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MT · 1808
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
200 CALIFORNIA AVE, Libby, MT 59923
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Davidson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59923 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Davidson's NPI number?

The NPI number for Stephen Davidson is 1417006776. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Stephen Davidson located?

Stephen Davidson practices at 200 California Ave, Libby, MT 59923. The listed phone number is (406) 293-7778.

What is Stephen Davidson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Stephen Davidson enrolled in Medicare?

Yes. Stephen Davidson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Davidson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.