Whalio Doctors

NPI 1407878606

Mark R Stevens, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Augusta, GA

Practice location

Address
1430 John Wesley Gilbert Drive, Augusta, GA 30912-0004
Phone
(706) 721-9744
Fax
(706) 721-6778
Mailing address
1430 John Wesley Gilbert Drive Gc-1012, Augusta, GA 30912-0001

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN013387 (GA)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN7757 (FL)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DNGA000215 (GA)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DDS25997 (CA)

Registry record

NPI
1407878606
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Jul 2006
Record last updated
22 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.