M Shane Stevenson Dmd, MD Oral and Maxillofacial Surgery, PC

NPI #1700975554 in Decatur, Alabama

Provider Information

NPI Number: 1700975554
Entity Type: Organization
Organization Name: M Shane Stevenson Dmd, MD Oral and Maxillofacial Surgery, PC
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Oct 12, 2006
Last Updated: Oct 30, 2008

Practice Location

Address: 1401 STRATFORD RD SE
City: Decatur
State: Alabama
ZIP Code: 35601-6022
Phone: (256) 355-1242

Authorized Official

Name: DR. MICHAEL SHANE STEVENSON, DMD, MD
Title: PRESIDENT
Phone: (256) 355-1242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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