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Individual
STEPHEN THOMAS TREACY
Active
Individual
STEPHEN THOMAS TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019033126
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10725
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13650
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
07/08/2026
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