Individual provider · Type 1 NPI

Mark Andrew Stephens, DMD

Oral and Maxillofacial Surgery (Dentist) · Champaign, IL

NPI number 1255652665 Active

Practice location

101 W University Ave
Champaign, IL 61820-3909

Call (217) 366-1246 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X019.028331 (IL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X021002666 (IL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1255652665

Mark Andrew Stephens, DMD's National Provider Identifier is 1255652665, issued on Jun 20, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Champaign, IL. The record was last updated on Aug 19, 2015.