Organization
STEVENSON, FAIRCHILD & SURBER OMS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL DORRIS (INSURANCE COORDINATOR)
(219) 462-9599
Entity
Organization
Contact information
Practice address
911 WALL ST., SUITE C, VALPARAISO, IN 46383-2553
(219) 462-9599
(219) 464-0369
Mailing address
911 WALL ST., SUITE C, VALPARAISO, IN 46383-2553
(219) 462-9599
(219) 464-0369
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
07/07/2021
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