Individual
DR. GERALD LANE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3331 E MONTCLAIR ST, SUITE A, SPRINGFIELD, MO 65804-4785
(417) 886-3636
(417) 447-1554
Mailing address
3331 E. MONTCLAIR, SUITE A, SPRINGFIELD, MO 65804
(417) 886-3636
(417) 447-1554
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
015601
MO
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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