National Provider Identifier

Thomas Cyriel Stevens, D.D.S.

Thomas Cyriel Stevens, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Walworth, NY and a listed phone number of (315) 986-1144.

NPI 1609970086Walworth, NYGeneral Practice Dentistry

Profile Overview

NPI
1609970086
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
September 07, 2006
Last Updated
July 08, 2007

Practice Location

  • 2100 Penfield RD.
  • Walworth, NY 14568-0029

Phone: (315) 986-1144

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1609970086
Entity Type
Individual
Last Name
Stevens
First Name
Thomas
Middle Name
Cyriel
Name Prefix
Dr.
Credential
D.D.S.
Mailing Street Address
2100 Penfield RD.
Mailing City
Walworth
Mailing State
NY
Mailing ZIP Code
14568-0029
Mailing Country
US
Mailing Phone
(315) 986-1144
Mailing Fax
(315) 986-3191
Practice Street Address
2100 Penfield RD.
Practice City
Walworth
Practice State
NY
Practice ZIP Code
14568-0029
Practice Country
US
Practice Phone
(315) 986-1144
Practice Fax
(315) 986-3191
Enumeration Date
September 07, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)