Individual
DR. MARK CLAY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
138 N KEENELAND DR, SUITE C, RICHMOND, KY 40475-7951
(859) 626-0069
(859) 626-0402
Mailing address
138 N KEENELAND DR, SUITE C, RICHMOND, KY 40475-7951
(859) 626-0069
(859) 626-0402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7307
KY
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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