Organization
CHAD E STEPHENSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD STEPHENSON DDS (PRESIDENT)
(541) 318-1564
Entity
Organization
Contact information
Practice address
461 NE GREENWOOD AVE, SUITE C, BEND, OR 97701-4607
(541) 318-1564
Mailing address
461 NE GREENWOOD AVE, SUITE C, BEND, OR 97701-4607
(541) 318-1564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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