Stevenson Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STEVENSON DENTAL GROUP

Practice address

570 E Arrow Hwy Ste B
San Dimas, CA 91773-3347

Phone

(310) 868-1838

NPI assigned

Dec 19, 2022

Organization subpart

Yes

Parent organization

STEVENSON DENTAL SOLUTIONS INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Stevenson, DDSNPI 1679786776

Title

Director

Phone

(310) 868-1838

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Gray Stevenson III, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1679786776
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1316659709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E ARROW HWY STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733347",
            "telephone_number": "310-868-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E ARROW HWY STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733347",
            "telephone_number": "310-868-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEVENSON DENTAL SOLUTIONS INC.",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-17",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-868-1838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santi Srijumnong, PHARMD
• Julie Nicole Stassart, BA
• Christa Gerda Stefoni, MS CCC/SLP
• Leanne Marie Steinhaus, AMFT
• Kanye Stephens
• Jessica Renae Stewart
• Geovanna Alejandra Stingley, COTA
• Alicia M Stufoso, OT
• Clifford F Stunden, MFT
• Gerardo Cuitlahuac Suarez

• Dental Clinic/Center in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.