Individual provider · Type 1 NPI

Stephen R. Prevost, DDS

General Practice Dentistry · Pacifica, CA

NPI number 1306064928 Active

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.