Diane Petersen Stephens, D.M.D.

General Practice Dentistry · Stone Mountain, GA

Individual Active NPI

NPI number 1871521492

Practice location

5370 Us Highway 78
Suite 720
Stone Mountain, GA 30087-3574
Phone
(770) 465-3400
Fax
(770) 465-3480

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NPI record

NPI
1871521492
Entity type
Individual (Type 1)
Enumeration date
June 30, 2006
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN009837 GA

Mailing address

PO Box 871128
Stone Mountain, GA 30087-0029
Phone
(770) 465-3400
Fax
(770) 465-3480

About Dr. Stephens

Diane Petersen Stephens, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5370 Us Highway 78, Suite 720, Stone Mountain, GA 30087-3574. The NPI number 1871521492 was assigned on June 30, 2006 and the record was last updated on July 9, 2007.

Dr. Stephens lists a license in the registry: #DN009837 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Diane Petersen Stephens, D.M.D.?

The NPI number is 1871521492.

What is the phone number of Dr. Stephens?

The phone number listed for the practice location is (770) 465-3400.

Where is Dr. Stephens located?

5370 Us Highway 78, Suite 720, Stone Mountain, GA 30087-3574.

What is the taxonomy code for Dr. Stephens?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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