Organization
ABC PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN D STEVENSON DDS (MANAGER)
(801) 842-6971
Entity
Organization
Contact information
Practice address
610 S 4J CT # B, GILLETTE, WY 82716-4127
(801) 842-6971
Mailing address
4019 W 12600 S STE 200, RIVERTON, UT 84096-7406
(801) 842-6971
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up