Individual
DR. WAYNE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5607 NW 27TH AVE, SUITE 2, MIAMI, FL 33142-2826
(305) 636-3336
Mailing address
808 S 5TH AVE, DENTON, MD 21629-1398
(410) 479-2650
(833) 916-1012
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0562251
NY
1223P0221X
Pediatric Dentistry
Primary
18018
MD
1223P0221X
Pediatric Dentistry
DN20205
FL
Other
Enumeration date
08/21/2014
Last updated
12/11/2024
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