Chad E Stephenson DDS PC

NPI #1780993089 in Bend, Oregon

Provider Information

NPI Number: 1780993089
Entity Type: Organization
Organization Name: Chad E Stephenson DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 4, 2010
Last Updated: Oct 4, 2010

Practice Location

Address: 461 NE GREENWOOD AVE
Address 2: SUITE C
City: Bend
State: Oregon
ZIP Code: 97701-4607
Phone: (541) 318-1564

Authorized Official

Name: DR. CHAD STEPHENSON, DDS
Title: PRESIDENT
Phone: (541) 318-1564

Specialties & Taxonomy Codes

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

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