Individual
DR. JOHN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
105 SUNNY LN, GATESVILLE, TX 76528-1879
(254) 223-3857
Mailing address
1401 STATE SCHOOL RD, GATESVILLE, TX 76599-0001
(254) 865-8431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15370
TX
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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