Organization
GREGORY D. STEVENS, D.D.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY STEVENS, D.D.S., LLC (OWNER)
(573) 445-9526
Entity
Organization
Contact information
Practice address
1601 CHAPEL HILL RD STE A, COLUMBIA, MO 65203-5462
(573) 445-9526
(573) 445-7950
Mailing address
1601 CHAPEL HILL RD STE A, COLUMBIA, MO 65203-5462
(573) 445-9526
(573) 445-7950
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
016155
MO
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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