Individual provider · Type 1 NPI

Glen K. Stephenson, DMD

General Practice Dentistry · Boise, ID

NPI number 1467480863 Active

About NPI 1467480863

Glen K. Stephenson, DMD's National Provider Identifier is 1467480863, issued on Jun 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Jul 9, 2007.