Provider Demographics
NPI:1740203371
Name:STEPHENS, WILLIAM STEVE (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:STEVE
Last Name:STEPHENS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 REMONT CIR
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-4739
Mailing Address - Country:US
Mailing Address - Phone:818-879-9432
Mailing Address - Fax:805-494-3241
Practice Address - Street 1:2801 TOWNSGATE RD. #205
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362
Practice Address - Country:US
Practice Address - Phone:805-494-3231
Practice Address - Fax:805-494-3241
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA344281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice