Joshua Stephens, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN4789 Issued in ME

Practice address

25 Long Creek Dr Ste 2
South Portland, ME 04106-2441

Phone

(207) 775-2072

NPI assigned

Jun 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oakes, LLC

  • General Practice Dentistry
  • South Portland, ME
  • NPI 1295287746
  NPD (past)

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1851915060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 RANGE RD",
            "city": "CUMBERLAND",
            "state": "ME",
            "postal_code": "040213438",
            "telephone_number": "574-386-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LONG CREEK DR STE 2",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062441",
            "telephone_number": "207-775-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JOSHUA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4789",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stature Residential Care LLC
• Janet Steady, M.S., R.D., L.D.
• Natalie Esther Stec, MD
• Basil Minot Steele, LCPC
• Susan K Steinman, MS
• Allison Emma Stertzer, LCSW
• Kathryn Stevens, APRN
• Marissa Dean Stewart, DPT
• Sherri Stockwell
• Patricia B Stogsdill, MD

• Dentist in South Portland, ME
• Providers in South Portland, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.