Gregory N. Stevens D.m.d. Ltd

NPI 1427148642 - Clinic/Center - 261QS0112X

NPI Details
NPI 1427148642
Enumeration Date 10/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GREGORY NICHOLAS GREGORY
Position PRESIDENT
Phone (630) 725-3333
Fax (630) 725-3334
Practice Location
5980 STATE ROUTE 53
SUITEC
LISLE IL, 60532-3199, US
Phone (630) 725-3333
Fax (630) 725-3334
Business Location
PO BOX 318
LISLE IL, 60532-0318, US
Phone (630) 725-3333
Fax (630) 725-3334
Toxanomy
Taxonomy Code 261QS0112X
License State Illinois
License Number 019016917//021001238
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According to our database, Gregory N. Stevens D.m.d. Ltd NPI is 1427148642, taxonomy code is 261QS0112X and license number is 019016917//021001238, license state is located at Illinois. Gregory N. Stevens D.m.d. Ltd physically located at 5980 State Route 53, Lisle IL, 60532-3199. NPI Number 1033115704 has the healthcare provider type.

1427148642 NPI number is provided on an as is basis without warranty of any kind. 1427148642 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory N. Stevens D.m.d. Ltd are for informational purposes only.