Individual
DR. SCOTT THOMAS STEVENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11970 SWEETWATER DR, GRAND LEDGE, MI 48837-8199
(517) 627-2470
(517) 627-7816
Mailing address
11970 SWEETWATER DR, GRAND LEDGE, MI 48837-8199
(517) 627-2470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013629
MI
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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