Stephens, John Russell

Stephens, John Russell is an sole proprietor health care provider with primary practice located at 2601 E Elms Rd , Killeen TX 76542-2804. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stephens, John Russell can be contacted via phone (254) 699-4127.

Contact Information

Primary practice address
2601 E Elms Rd Killeen TX 76542-2804
Fax: (254) 699-4130
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12910 Texas

Profile Details

NPI number 1962420182
LBN Legal business name Stephens, John Russell
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962420182 NPPES
Texas Other D12910 BC/BS
Texas Other 689845 BC/BS

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