Individual
DR. JASON M. STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2176 MACLAND RD, SUITE B, DALLAS, GA 30157-5190
(770) 445-1081
(770) 445-7737
Mailing address
2176 MACLAND RD, SUITE B, DALLAS, GA 30157-5190
(770) 445-1081
(770) 445-7737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012439
GA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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