Individual
CHAD STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
409 NE GREENWOOD AVE STE 100, BEND, OR 97701-4616
(541) 318-1564
Mailing address
409 NE GREENWOOD AVE STE 100, BEND, OR 97701-4616
(541) 318-1564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8581
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023252
—
OR
Enumeration date
01/24/2006
Last updated
03/14/2024
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