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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK ANDREW STEPHENS, D.M.D.

Active

DR. MARK ANDREW STEPHENS, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in CHAMPAIGN, Illinois. NPI 1255652665 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · CHAMPAIGN, IL

Registration Details

NPI Number
1255652665
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2010 (16.163876764256 yrs)
Last Updated
Aug 19, 2015
Licenses
019.028331 (IL)
021002666 (IL)

Practice Information

Address
101 W UNIVERSITY AVE
CHAMPAIGN, IL, 618203909
Browse IL providers · Browse ZIP 61820
Phone
2173661246
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in CHAMPAIGN, IL

Name Credential NPI
DR. VICTOR ESCOBAR D.D.S., PH.D. 1750397501
DR. EUGENE MICHAEL OZMENT DDS 1518025394
THERON WAISATH DMD 1144423963
NICHOLAS MECHAS D.M.D. 1164886362
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.