Individual
JOSHUA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25 LONG CREEK DR STE 2, SOUTH PORTLAND, ME 04106-2441
(207) 775-2072
Mailing address
48 RANGE RD, CUMBERLAND, ME 04021-3438
(574) 386-5311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4789
ME
1223G0001X
General Practice Dentistry
4789
ME
Other
Enumeration date
06/03/2020
Last updated
11/21/2022
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