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Organization
THOMAS C. STEVENS, D.D.S., P.C.
Active
Organization
THOMAS C. STEVENS, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CYRIEL STEVENS D.D.S. (PRESIDENT)
(315) 986-1144
Entity
Organization
Contact information
Practice address
2100 PENFIELD RD., WALWORTH, NY 14568-0029
(315) 986-1144
(315) 986-3191
Mailing address
2100 PENFIELD RD., WALWORTH, NY 14568-0029
(315) 986-1144
(315) 986-3191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
027773
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00447645
—
NY
Enumeration date
09/07/2006
Last updated
08/22/2020
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