| Stephens & Stephens Orthodontics | |
|
3707 Brookside Drive Tyler TX 75701-8699 | |
| (903) 561-7861 | |
| (903) 561-2431 |
| Full Name | Stephens & Stephens Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3707 Brookside Drive, Tyler, Texas |
| Authorized Official Name and Position | Marvin G Stephens (CO-OWNER) |
| Authorized Official Contact | 9035617861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephens & Stephens Orthodontics 3707 Brookside Drive Tyler TX 75701-8699 Ph: (903) 561-7861 | Stephens & Stephens Orthodontics 3707 Brookside Drive Tyler TX 75701-8699 Ph: (903) 561-7861 |
| NPI Number | 1568674620 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568674620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9636 (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20671 (Texas) | Secondary |
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