Individual
DR. STEPHEN ROSS PRIEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 KEENAN COURT, SUITE #100, VERONA, WI 53593
(608) 960-8414
Mailing address
16655 W BLUEMOUND RD STE 380, BROOKFIELD, WI 53005-5939
(262) 786-1270
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
16474
MD
1223P0221X
Pediatric Dentistry
Primary
6001081
WI
1223P0221X
Pediatric Dentistry
DDS-09728
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
03/11/2018
Last updated
10/08/2023
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