Joseph William Stevens, D.D.S
Individual provider Active NPI General Practice Dentistry · Nappanee, IN
NPI 1386794352 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386794352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12010072A (IN)
- Practice address
- 1001 N Main St
Suit 2
Nappanee, IN 46550-1038 - Phone
- (574) 773-7979
- Fax
- (574) 773-7292
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010072A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwood Family Dentistry, Inc. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010072A | IN | Yes |
Addresses
Primary practice location
1001 N Main St
Suit 2
Nappanee, IN 46550-1038
Mailing address
1001 N Main St
Suit 2
Nappanee, IN 46550-1038
Phone (574) 773-7979
Other providers in Nappanee, IN
- Alfred J. Schlorke
- Seifert Healthcare LLC
- Seifert Healthcare LLC
- Mark R Steinmetz
- Kendell Stephens
- Crystal Stickel
- Jacob C Stump
- Randall Jon Suttor
- Nicole Anne Terpstra
- Brian Richard Topping
All providers in Nappanee, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.