Individual
JOSEPH STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2904 GREENBRIAR DR, SPRINGFIELD, IL 62704-7430
(217) 793-9550
(217) 793-9587
Mailing address
2904 GREENBRIAR DR, SPRINGFIELD, IL 62704-7430
(217) 793-9550
(217) 793-9587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030820
IL
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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