Stephenson, Scott
Stephenson, Scott is an individual health care provider with primary practice located at 485 E Alameda Rd , Pocatello ID 83201-3609. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Stephenson, Scott can be contacted via phone (208) 904-3966.Contact Information
Primary practice address
485 E Alameda Rd
Pocatello ID 83201-3609
Phone: (208) 904-3966
Fax: (208) 234-8056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-4540 | Idaho |
| Dental Providers / Dentist | 122300000X | D4540 | Idaho |
Profile Details
| NPI number | 1669809422 |
|---|---|
| LBN Legal business name | Stephenson, Scott |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2013 |
| Last updated | Jul 21st, 2022 - about 4 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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