Organization · Type 2 NPI
M Shane Stevenson Dmd, MD Oral and Maxillofacial Surgery, PC
Oral and Maxillofacial Surgery (Dentist) · Decatur, AL
NPI number
1700975554
Active
Practice location
1401 Stratford Rd SE
Decatur, AL 35601-6022
Fax (256) 355-1259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 5063 (AL) |
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.
Another provider at this address
About NPI 1700975554
M Shane Stevenson Dmd, MD Oral and Maxillofacial Surgery, PC's National Provider Identifier is 1700975554, issued on Oct 12, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Decatur, AL. The record was last updated on Oct 30, 2008.