Individual
DR. STEPHEN PAUL MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1277 HWY 11W, SUITE F, BEAN STATION, TN 37708
(865) 993-2225
Mailing address
PO BOX 130, BEAN STATION, TN 37708-0130
(865) 993-2225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS6933
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177839
BLUE CROSS BLUE SHIELD
TN
05
—
3225952
—
TN
Enumeration date
06/08/2007
Last updated
07/09/2007
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