Individual provider · Type 1 NPI
Paul Stevens, DMD
Pediatric Dentistry · Kuna, ID
NPI number
1174937270
Active
Practice location
1385 N Jacksonmill Ave
Kuna, ID 83634-2042
Mailing address
3646 E Mardia St
Meridian, ID 83642-5481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D-5149-PD (ID) |
| Pediatric Dentistry | 1223P0221X | D10877 (OR) |
| Pediatric Dentistry | 1223P0221X | 188794 (AK) |
| Dentist | 122300000X | 9438 (KY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Kuna
About NPI 1174937270
Paul Stevens, DMD's National Provider Identifier is 1174937270, issued on Jun 17, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kuna, ID. The record was last updated on May 10, 2022.