Individual
STEPHEN JAMES BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
405 ALABAMA AVE NW, FORT PAYNE, AL 35967-2327
(256) 845-1332
(256) 845-2916
Mailing address
405 ALABAMA AVE NW, FORT PAYNE, AL 35967-2327
(256) 845-1332
(256) 845-2916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2947
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90742
BLUECROSS BLUE SHIELD OF
AL
Enumeration date
01/24/2007
Last updated
07/09/2007
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