| Gregory D. Stevens, D.d.s., Llc | |
|
1601 Chapel Hill Rd Ste A Columbia MO 65203-5462 | |
| (573) 445-9526 | |
| (573) 445-7950 |
| Full Name | Gregory D. Stevens, D.d.s., Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1601 Chapel Hill Rd Ste A, Columbia, Missouri |
| Authorized Official Name and Position | Gregory Stevens, D.d.s., Llc (OWNER) |
| Authorized Official Contact | 5734459526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory D. Stevens, D.d.s., Llc 1601 Chapel Hill Rd Ste A Columbia MO 65203-5462 Ph: (573) 445-9526 | Gregory D. Stevens, D.d.s., Llc 1601 Chapel Hill Rd Ste A Columbia MO 65203-5462 Ph: (573) 445-9526 |
| NPI Number | 1518127141 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518127141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 016155 (Missouri) | Primary |
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