# GREGORY D. STEVENS, D.D.S., 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:** 1518127141
- **Authorized official:** GREGORY STEVENS, D.D.S., LLC (OWNER)
- **Authorized official phone:** (573) 445-9526

## Contact information

- **Practice address:** 1601 CHAPEL HILL RD STE A, COLUMBIA, MO 65203-5462
- **Practice address phone:** (573) 445-9526
- **Practice address fax:** (573) 445-7950
- **Mailing address:** 1601 CHAPEL HILL RD STE A, COLUMBIA, MO 65203-5462
- **Mailing address phone:** (573) 445-9526
- **Mailing address fax:** (573) 445-7950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 016155 | MO | Yes |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 06/17/2008