DR. Gerald Lane Stephenson, D.D.S.

NPI #1386795193 in Springfield, Missouri

Provider Information

NPI Number
1386795193
Entity Type
Individual
Name
DR. Gerald Lane Stephenson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Endodontics
Credential
D.D.S.
Enumeration Date
Jan 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3331 E MONTCLAIR ST
Address 2
SUITE A
ZIP Code
65804-4785
Phone
(417) 886-3636

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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