Stephenson, Chad
Stephenson, Chad is an individual health care provider with primary practice located at 409 Ne Greenwood Ave Ste 100 , Bend OR 97701-4616. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stephenson, Chad can be contacted via phone (541) 318-1564.Contact Information
Primary practice address
409 Ne Greenwood Ave Ste 100
Bend OR 97701-4616
Phone: (541) 318-1564
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D8581 | Oregon |
Profile Details
| NPI number | 1568432409 |
|---|---|
| LBN Legal business name | Stephenson, Chad |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Mar 14th, 2024 - about 6 months 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 | 1568432409 | NPPES |
| Oregon | MEDICAID | 023252 |
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