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W. FREDERICK STEPHENSDDSINC NPI 1174797708


NPI Information

NPI: 1174797708
Provider Name: W. FREDERICK STEPHENS,DDS,INC

Doing Business As: THE PACIFIC COAST CENTER FOR ORAL & FACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
301 S FAIR OAKS AVE
SUITE #107
PASADENA, CA
ZIP 91105
Phone: (626) 440-0099
Get Directions

W. FREDERICK STEPHENS,DDS,INC is an oral and maxillofacial surgery dentist in Pasadena, CA. The provider is an oral and maxillofacial surgery dentist specialized in 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. W. FREDERICK STEPHENS,DDS,INC NPI is 1174797708. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As The Pacific Coast Center For Oral & Facial Surgery.

The provider's business location address is:

301 S FAIR OAKS AVE
SUITE #107
PASADENA, CA
ZIP 91105-561
Phone: (626) 440-0099
Fax: (626) 440-1002

The provider's authorized official is William Frederick Stephens .
The authorized official title is Owner/president and has the following contact phone number (626) 440-0099.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 2/13/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery34775CALIFORNIAYes

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

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