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Contact Information

GARY L STEVENS, DDS
1030 E WILLOW GROVE AVE
WYNDMOOR, PA19038-7938
 Phone: 215-233-1700
 Fax: 215-233-1730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GARY L STEVENS · (Male)

NPI Number 1013099266
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/19/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # DS025317L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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