DR. LUCAS STEPHENS DMD NPI 1063965986

NPI Information

NPI: 1063965986
Provider Name: DR. LUCAS STEPHENS, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
15160 KENSINGTON PARK DR STE 610
TUSTIN, CA
ZIP 92782
Phone: (714) 294-0807
Get Directions

DR. Lucas Stephens, DMD is a general practice dentist in Tustin, CA. The provider is 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. DR. Lucas Stephens, DMD NPI is 1063965986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15160 KENSINGTON PARK DR STE 610
TUSTIN, CA
ZIP 92782-825
Phone: (714) 294-0807

The NPI 1063965986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/27/2016 and was last updated on 9/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	019.030852	ILLINOIS	No
2	1223G0001X	Dentist	General Practice	106765	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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