Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN REYNOLDS VAN ESS, D.D.S.
ActiveDR. STEPHEN REYNOLDS VAN ESS, D.D.S. is a General Dentistry healthcare provider located in KEWASKUM, Wisconsin. NPI 1740284306 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · KEWASKUM, WI
Registration Details
- NPI Number
- 1740284306
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2005 (21.19519455237 yrs)
- Last Updated
- Jul 8, 2007
- License
-
02775 (WI)
Practice Information
- Address
-
1053 FOND DU LAC AVEKEWASKUM, WI, 530409495Browse WI providers · Browse ZIP 53040
- Phone
- 2626268444
- Fax
- 2626268260
- Primary Specialty
-
General Dentistry
1223G0001X
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.