Individual
STACEY N STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
51 WESTERN AVE STE 3B, FAIRFIELD, ME 04937-1386
(207) 238-6235
Mailing address
51 WESTERN AVE STE 3B, FAIRFIELD, ME 04937-1386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4436
ME
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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