Individual
DR. SCOTT J STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2538 E. JOYCE BLVD, FAYETTEVILLE, AR 72703
(479) 442-3915
(479) 442-4449
Mailing address
2538 E. JOYCE BLVD, FAYETTEVILLE, AR 72703
(479) 442-3915
(479) 442-4449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3374
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1701032
UNITED CONCORDIA ID#
AZ
01
—
5Y318
BCBS PROVIDER ID
AR
Enumeration date
10/05/2006
Last updated
07/08/2007
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