Individual
DR. JOHN CRAIG STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2901 BROADWAY, NORTH BEND, OR 97459
(541) 756-3181
(541) 756-5838
Mailing address
2901 BROADWAY, NORTH BEND, OR 97459
(541) 756-3181
(541) 756-5838
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4985
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229145
STATE OF OREGON
OR
Enumeration date
10/03/2006
Last updated
07/08/2007
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