Individual
MATTHEW LEE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 BLUEBILL DR APT 303, PEMBROKE, NC 28372-4809
(214) 558-4282
Mailing address
6515 BARCELONA, IRVING, TX 75039-3042
(214) 558-4282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38000
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2021
Last updated
01/28/2022
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