Organization
STEVENSON PEDIATRIC DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN DANIEL STEVENSON D.D.S. (OWNER, PRESIDENT)
(801) 302-7938
Entity
Organization
Contact information
Practice address
4019 W. 12600 S., SUITE 200, RIVERTON, UT 84096
(801) 302-7938
(801) 302-9409
Mailing address
4019 W 12600 S, SUITE 200, RIVERTON, UT 84096
(801) 302-7938
(801) 302-9409
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5863508-9923
UT
Other
Enumeration date
11/21/2006
Last updated
11/18/2014
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