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Dr. Mark Andrew Stephens, DMD
Oral and Maxillofacial Surgery (Dentist) in Champaign, Illinois
NPI 1255652665

Mark Andrew Stephens is a Oral and Maxillofacial Surgery (Dentist) based in Champaign, IL and is specialized in Oral and Maxillofacial Surgery. Mark Andrew Stephens practices in Champaign, IL and has the professional credentials of DMD. The NPI Number for Mark Andrew Stephens is 1255652665 and holds a License No. 019.028331 (Illinois).

The current practice location address for Mark Andrew Stephens is 101 W University Ave, Champaign, IL and can be reached out via phone at 217-366-1246.

Location: 101 W University Ave, Champaign, IL, 61820-3909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255652665
Provider Name
Mark Andrew Stephens
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
101 W University Ave, Champaign, IL, 61820-3909
Phone Number
217-366-1246
Fax Number
Provider Enumeration Date
06/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 W University Ave
City
Champaign
State
Illinois
Zip
61820-3909
Phone Number
217-366-1246
Fax Number
person
Provider Business Mailing Address Details
Address
101 W University Ave
City
Champaign
State
Illinois
Zip
61820-3909
Phone Number
217-366-1246
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
021002666 (Illinois)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019.028331 (Illinois)
Definition
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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