Organization
DARON STEVENS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARON R. STEVENS DDS (ORTHODONTIST)
(208) 468-9191
Entity
Organization
Contact information
Practice address
119 S VALLEY DR, SUITE E, NAMPA, ID 83686-2974
(208) 468-9191
(208) 466-7479
Mailing address
119 S VALLEY DR, SUITE E, NAMPA, ID 83686-2974
(208) 468-9191
(208) 466-7479
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D3738-OR
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114933553
IDAHO SMILES-DR STEVENS
ID
01
—
1174723472
IDAHO SMILES-DR FRANCIS
ID
Enumeration date
03/19/2008
Last updated
03/19/2008
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