Individual
DR. JEFFREY R STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
310 W JEFFERSON AVE, EFFINGHAM, IL 62401-2348
(217) 342-3850
Mailing address
310 W JEFFERSON AVE, EFFINGHAM, IL 62401-2348
(217) 342-3850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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