Modelevsky, Stephen Allen

Modelevsky, Stephen Allen is an individual health care provider with primary practice located at 906 Osler Drive , Jonesboro AR 72401. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Modelevsky, Stephen Allen can be contacted via phone (870) 972-8570.

Contact Information

Primary practice address
906 Osler Drive Jonesboro AR 72401
Phone: (870) 972-8570
Fax: (870) 972-5451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 2302 Arkansas

Profile Details

NPI number 1477647089
LBN Legal business name Modelevsky, Stephen Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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