Stephens, Willie L
Stephens, Willie L is an sole proprietor health care provider with primary practice located at 372 Washington Street , Wellesley MA 02481. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Stephens, Willie L can be contacted via phone (781) 235-4554.Contact Information
Primary practice address
372 Washington Street
Wellesley MA 02481
Phone: (781) 235-4554
Fax: (781) 237-2947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 16291 | Massachusetts |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN16291 | Massachusetts |
Profile Details
| NPI number | 1437163821 |
|---|---|
| LBN Legal business name | Stephens, Willie L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Sep 28th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437163821 | NPPES |
| Massachusetts | Other | 726209 | TUFTS HEALTH PLAN |
| Massachusetts | Other | X04651 | TUFTS HEALTH PLAN |
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