John Russell Stephens in Killeen - Dentist
John Russell Stephens - NPI 1962420182
John Russell Stephens is a Dentist in Killeen, Texas. John Russell Stephens practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Russell Stephens is 1962420182. The last update date is 2007-07-08.
John Russell Stephens's current location address is 2601 E Elms Rd, Killeen, Texas. You can contact this provider via phone number 2546994127 and fax number 2546994130. The mailing address for John Russell Stephens is 2601 E Elms Rd, Killeen, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Russell Stephens |
|---|---|
| Address | 2601 E Elms Rd, Killeen, Texas |
| Phone Number | 2546994127 |
| Fax Number | 2546994130 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1962420182 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2601 E Elms Rd |
|---|---|
| City | Killeen |
| State | Texas (TX) |
| Post Code | 765422804 |
| Phone Number | 2546994127 |
| Fax Number | 2546994130 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12910 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D12910 | TX | BC/BS | |
| 689845 | TX | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique identifier code issued to John Russell Stephens by the Centers for Medicare & Medicaid Services?
The John Russell Stephens has been assigned the NPI (National Provider Identifier) 1962420182. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Russell Stephens?
The John Russell Stephens is situated at 2601 E Elms Rd, in the city of Killeen, state of TX, with the zip code 765422804.
What is the area of specialization for John Russell Stephens, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Russell Stephens is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962420182 to John Russell Stephens?
The John Russell Stephens received its 1962420182 assignment from the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information related to John Russell Stephens most recently updated or refreshed?
The details pertaining to the John Russell Stephens, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.