Gregory N. Stevens D.M.D. LTD

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

019016917//021001238 Issued in IL

Legal business name

GREGORY N. STEVENS D.M.D. LTD

Practice address

5980 State Route 53
Suitec
Lisle, IL 60532-3199

Phone

(630) 725-3333

Fax

(630) 725-3334

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Nicholas Stevens, D.M.D.NPI 1518057736

Title

President

Phone

(630) 725-3333

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.

• Gregory Nicholas Stevens, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lisle, IL
  • NPI 1518057736
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427148642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 318",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605320318",
            "telephone_number": "630-725-3333",
            "fax_number": "630-725-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 STATE ROUTE 53",
            "address_2": "SUITEC",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323199",
            "telephone_number": "630-725-3333",
            "fax_number": "630-725-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY N. STEVENS D.M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-725-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019016917//021001238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria A Gonzalez Salazar
• Alissa Rachel Gorelick-Wisniewski, D.O.
• Lara Govendo, LCPC
• Azwa Gowani
• Grandview Medical Services LLC
• Dawn Grimm, FNP
• Jill J Groezinger, LCPC
• Magdalena Marianna Gryglak, D.M.D
• Thomas Guerin, DC
• Courtney Elizabeth Gura, OTD, OTR/L

• Oral and Maxillofacial Surgery Clinic/Center in Lisle, IL
• Providers in Lisle, IL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.