Individual
DR. MICHAEL THOMAS STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
257 PLAINFIELD RD, WEST LEBANON, NH 03784-2026
(603) 298-8099
Mailing address
462 WOODCREST RD, KEY BISCAYNE, FL 33149-1839
(305) 989-0852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04580
NH
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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