Individual
DR. STEPHEN LEE GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8613 N 30TH ST, SUITE 103, OMAHA, NE 68112-1852
(402) 457-4350
Mailing address
8613 N 30TH ST, SUITE 103, OMAHA, NE 68112-1852
(402) 457-4350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4902
NE
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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