Organization
GREGORY N. STEVENS D.M.D. LTD
Active
Organization
GREGORY N. STEVENS D.M.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY NICHOLAS STEVENS D.M.D. (PRESIDENT)
(630) 725-3333
Entity
Organization
Contact information
Practice address
5980 STATE ROUTE 53, SUITEC, LISLE, IL 60532-3199
(630) 725-3333
(630) 725-3334
Mailing address
PO BOX 318, LISLE, IL 60532-0318
(630) 725-3333
(630) 725-3334
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
019016917//021001238
IL
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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