| Stephens Dentistry, Inc. | |
|
1560 Sherman Ave Suite # 807 Evanston IL 60201-4818 | |
| (847) 864-8151 | |
| (847) 864-5145 |
| Full Name | Stephens Dentistry, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1560 Sherman Ave, Evanston, Illinois |
| Authorized Official Name and Position | James Brian Stephens (OWNER / DENTIST) |
| Authorized Official Contact | 8478648151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephens Dentistry, Inc. 1560 Sherman Ave Suite # 807 Evanston IL 60201-4818 Ph: (847) 864-8151 | Stephens Dentistry, Inc. 1560 Sherman Ave Suite # 807 Evanston IL 60201-4818 Ph: (847) 864-8151 |
| NPI Number | 1881861565 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881861565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019022119 (Illinois) | Secondary |
| 1223G0001X | Dentist - General Practice | 019019740 (Illinois) | Primary |
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