Stephens, John Gordon

Stephens, John Gordon is an sole proprietor health care provider with primary practice located at 584 Oak Hill Rd Thomas Chittenden Health Center, Williston VT 05495-7103. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stephens, John Gordon can be contacted via phone (802) 878-2933.

Contact Information

Primary practice address
584 Oak Hill Rd Thomas Chittenden Health Center Williston VT 05495-7103
Phone: (802) 878-2933
Fax: (802) 872-1162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 604 Vermont

Profile Details

NPI number 1821016007
LBN Legal business name Stephens, John Gordon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 9th, 2007 - about 19 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 1821016007 NPPES
Vermont MEDICAID 000-1776
Vermont Other 919-1776

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