# STEPHEN B GILLESPIE DDS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215255518
- **Authorized official:** STEPHEN GILLESPIE (SOLE MEMBER)
- **Authorized official phone:** (360) 892-6132

## Contact information

- **Practice address:** 13200 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-7040
- **Practice address phone:** (360) 892-6132
- **Mailing address:** PO BOX 25528, TEMPE, AZ 85285-5528
- **Mailing address phone:** (480) 444-0607
- **Mailing address fax:** (480) 777-1345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE 00005353 | WA | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 02/13/2015