Mark Joseph Stevenson, D.D.S

Dentist · Portage, MI

Individual Active NPI

NPI number 1528205309

Practice location

1618 W Milham Ave
Portage, MI 49024-1230
Phone
(269) 343-1522
Fax
(269) 343-9744

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NPI record

NPI
1528205309
Entity type
Individual (Type 1)
Enumeration date
January 15, 2009
Last updated
January 15, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901019566 MI

About Dr. Stevenson

Mark Joseph Stevenson, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1618 W Milham Ave, Portage, MI 49024-1230. The NPI number 1528205309 was assigned on January 15, 2009 and the record was last updated on January 15, 2009.

Dr. Stevenson lists a license in the registry: #2901019566 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Joseph Stevenson, D.D.S?

The NPI number is 1528205309.

What is the phone number of Dr. Stevenson?

The phone number listed for the practice location is (269) 343-1522.

Where is Dr. Stevenson located?

1618 W Milham Ave, Portage, MI 49024-1230.

What is the taxonomy code for Dr. Stevenson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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