Individual
DR. DEREK MARCUS STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
113 W 86TH AVE, MERRILLIVILLE, IN 46410-7063
(219) 736-2007
(219) 736-2026
Mailing address
113 W 86TH AVE, MERRILLIVILLE, IN 46410-7063
(219) 736-2007
(219) 736-2026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IN12008151A
IN
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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