Willie L. Stephens, DDS, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WILLIE L. STEPHENS, DDS, PC

Practice address

372 Washington St
Suite 2500
Wellesley, MA 02481-6202

Phone

(781) 235-4554

Fax

(781) 237-2947

NPI assigned

Oct 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Willie L. Stephens, DDS

Title

President

Phone

(781) 235-4554

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1689950412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 WASHINGTON ST",
            "address_2": "SUITE 2500",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816202",
            "telephone_number": "781-235-4554",
            "fax_number": "781-237-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 WASHINGTON ST",
            "address_2": "SUITE 2500",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816202",
            "telephone_number": "781-235-4554",
            "fax_number": "781-237-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIE L. STEPHENS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-235-4554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S Whyman, M.D.
• Joanne M Wilkinson, M.D.
• Christopher Willard, PSY. D.
• William a. Mitchell Jr. MD PC
• William Mitchell Jr, LLC
• Beth G Wilson, LICSW
• Kalin Wilson
• Rachel Elizabeth Wilson, FNP-BC
• Richard Marsh Wilson, PSY.D.
• Fern Wirth, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.