Stephenson, Gerald Lane
Stephenson, Gerald Lane is an individual health care provider with primary practice located at 3331 E Montclair St Suite A, Springfield MO 65804-4785. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Stephenson, Gerald Lane can be contacted via phone (417) 886-3636.Contact Information
Primary practice address
3331 E Montclair St Suite A
Springfield MO 65804-4785
Phone: (417) 886-3636
Fax: (417) 447-1554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 015601 | Missouri |
Profile Details
| NPI number | 1386795193 |
|---|---|
| LBN Legal business name | Stephenson, Gerald Lane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| 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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