SearchIdahoPediatric Dentistry

Paul Stevens, DMD

NPI 1174937270 · on the registry since 2014 · sole proprietor

Practice

Address
1385 N Jacksonmill Ave
Kuna, ID 83634
Phone
(208) 606-4816

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Also registered as
Pediatric Dentistry
Pediatric Dentistry
Dentist
Licence states on file
ID, OR, AK, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho