Search › Idaho › 1223G0001X
Glen Stephenson, D.M.D
NPI 1467480863 · on the registry since 2006
Practice
- Address
- 7480 Northview St
Boise, ID 83704 - Phone
- (208) 375-4041
- Fax
- (208) 375-0225
- Organisation at this address
- Glen K Stephenson Dmd Chartered
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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