Individual provider · Type 1 NPI
Stephen R. Prevost, DDS
General Practice Dentistry · Pacifica, CA
NPI number
1306064928
Active
Practice location
205 Rockaway Beach Ave
Pacifica, CA 94044-3262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D21636 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1306064928
Stephen R. Prevost, DDS's National Provider Identifier is 1306064928, issued on Apr 20, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pacifica, CA. The record was last updated on Jul 8, 2007.