Todd Stephenson, DMD
Individual provider Active NPI General Practice Physician · Burkesville, KY
NPI 1992820013 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992820013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 5460 (KY)
- Practice address
- 405 North Main Street
Burkesville, KY 42717 - Phone
- (270) 864-3465
- Fax
- (270) 864-3496
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 5460 | KY | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5460 | KY | Yes |
Addresses
Primary practice location
405 North Main Street
Burkesville, KY 42717
Mailing address
PO Box 376
Burkesville, KY 42717-0376
Phone (270) 864-3465
Other providers in Burkesville, KY
- Carrie Jo Smith-Hunter
- Karan J Soni
- Melissa K Stalcup
- Shelby L Stephens
- John Glynn Stephenson
- Brenda C Tallent
- Teina Thrasher, Aprn, Pmhnp-BC, PLLC
- Lydia Capps Terry
- Lucas T Thompson
- Joy Rashae Turner
All providers in Burkesville, KY · General Practice Physician in Kentucky
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.