Russell John Stephens, D.D.S.

NPI #1558764845 in Newport, Washington

Provider Information

NPI Number: 1558764845
Entity Type: Individual
Name: Russell John Stephens, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 1, 2014
Last Updated: Jul 11, 2018

Practice Location

Address: 424 N. WARREN AVE.
City: Newport
State: Washington
ZIP Code: 99156
Phone: (509) 447-5960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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