Stephens, Mark Andrew

Stephens, Mark Andrew is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3909. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Stephens, Mark Andrew can be contacted via phone (217) 366-1246.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3909
Phone: (217) 366-1246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.028331 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021002666 Illinois

Profile Details

NPI number 1255652665
LBN Legal business name Stephens, Mark Andrew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2010
Last updated Aug 19th, 2015 - about 11 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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