DR. GERALD LANE STEPHENSON (NPI# 1386795193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386795193 |
| Entity Type | Individual |
| Full Name | DR. GERALD LANE STEPHENSON |
| Credential | D.D.S. |
| Practice Address |
3331 E Montclair St Suite A Springfield MO 65804-4785 |
| Mailing Address |
3331 E. Montclair Suite A Springfield MO 65804 |
| Practice Telephone | 4178863636 |
| Practice Fax Number | 4174471554 |
| Mailing Telephone | 4178863636 |
| Mailing Fax Number | 4174471554 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
015601 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598781122 | Gerald Robert Stephenson | Surgery | 1500 S Main St Ste 303, Fort Worth, TX 76104-4917 | 2006-07-15 |
| Street Address |
3331 E MONTCLAIR ST SUITE A |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-4785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477833036 | Richard M Sherman | Dentist | 3331 E Montclair St, Suite A, Springfield, MO 65804-4785 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134782592 | Endodontics of Springfield | Dentist | 997 Clock Tower Dr Ste C, Springfield, IL 62704-1399 | 2019-04-20 |
| 1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
| 1992955405 | Greater Springfield Endodontics Partnership | Dentist | 2808 S Ingram Mill Rd, Building C108, Springfield, MO 65804-4079 | 2008-09-22 |
| 1023213758 | Reza Fardshisheh | Dentist | 6120 Brandon Ave Ste 314, Springfield, VA 22150-2504 | 2007-06-21 |
| 1396888426 | Carol A Mccall | Dentist | 1358 E Kingsley St, Suite E, Springfield, MO 65804-7216 | 2007-02-15 |
| 1801936570 | Western Mass Endodontics PC | Dentist | 15 Liberty Street, Western Mass Endodontics, Springfield, MA 01103 | 2007-02-08 |
| 1871665232 | David James Hurt | Dentist | 1201 S Veterans Pkwy Ste E, Springfield, IL 62704-6342 | 2006-11-14 |
| 1215008008 | Stewart A. Hinkley | Dentist | 1990 Kingsgate Rd # B, Springfield, OH 45502-8224 | 2006-11-13 |
| 1063591089 | Mark Allen Massey | Dentist | 4350 S National Ave Ste B122, Springfield, MO 65810-2658 | 2006-11-02 |
| 1982796041 | Lisa Dawn Castleman | Dentist | 1338 E Kingsley St, Suite A, Springfield, MO 65804-7216 | 2006-09-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on DR. GERALD LANE STEPHENSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.