John W Stevens DDS PC
NPI #1053000505 in Willimantic, Connecticut
Provider Information
- NPI Number
- 1053000505
- Entity Type
- Organization
- Organization Name
- John W Stevens DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 2, 2023
- Last Updated
- May 2, 2023
Practice Location
- Address
- 1581 MAIN ST
- City
- Willimantic
- State
- Connecticut
- ZIP Code
- 06226-1129
- Phone
- (860) 456-3214
Authorized Official
- Name
- NICKALUS STEVENS, DMD
- Title
- DENTIST AND OWNER
- Phone
- (860) 933-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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