DR. MARK RUSSELL STEVENSON (NPI# 1871809228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871809228 |
| Entity Type | Individual |
| Full Name | DR. MARK RUSSELL STEVENSON |
| Credential | D.M.D |
| Practice Address |
90 Vandenberg Dr Hanscom Afb Bedford MA 01731-2104 |
| Practice Telephone | 7813773396 |
| Practice Fax Number | 7813772125 |
| Mailing Telephone | 7813773396 |
| Mailing Fax Number | 7813772125 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D9347 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952652752 | Mark Brent Stevenson | Pharmacist | 479 Bypass 72 Nw Ste 100, Greenwood, SC 29649-1405 | 2012-09-20 |
| 1851345953 | Mark R Stevenson | Dentist | 6505 E 82nd St, Indianapolis, IN 46250-5538 | 2006-05-22 |
| 1750332649 | Mark Edward Stevenson | Family Medicine | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2006-05-15 |
| 1659348233 | Mark Allen Stevenson | Nurse Anesthetist, Certified Registered | 531 Willow Grove Dr, San Antonio, TX 78245-2776 | 2006-03-02 |
| 1679819122 | Mark Stevenson | Hearing Instrument Specialist | 293 S Main St, Logan, UT 84321-5203 | 2013-01-02 |
| 1528205309 | Mark Joseph Stevenson | Dentist | 1618 W Milham Ave, Portage, MI 49024-1230 | 2009-01-15 |
| 1902026081 | Mark J Stevenson | Psychologist | 4960 S Alma School Rd Ste 18, Chandler, AZ 85248-5573 | 2007-04-30 |
| 1396843181 | Mark D. Stevenson | Dentist | 2222 East St, 350, Concord, CA 94520-2084 | 2006-09-20 |
| Street Address |
90 VANDENBERG DR HANSCOM AFB |
| City | BEDFORD |
| State | MA |
| Zip Code | 01731-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508260217 | Donna Jamrog | Dental Hygienist | 90 Vandenberg Dr, 66th Med Squadron, Hanscom Afb, Bedford, MA 01731-2104 | 2014-10-09 |
| 1801052501 | Kristin J Hays | Dental Hygienist | 90 Vandenberg Dr, Bedford, MA 01731-2104 | 2008-08-01 |
| 1588761878 | Donna Anne Rajotte | Registered Nurse | 90 Vandenberg Dr, 66mdg, Bedford, MA 01731-2104 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114171 | Aletha Juah Thomas | Nurse's Aide | 1 Freedom Cir, Hanscom Afb, MA 01731 | 2018-12-05 |
| 1730609793 | Christopher M. Congemi | Dentist | 66mds (afmc), 90 Vandenberg Dr, Bldg 1900, Hanscom Afb, MA 01731 | 2017-06-21 |
| 1184011322 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Elgin St, Bldg 1709 B, Hanscom Afb, MA 01731 | 2015-04-24 |
| 1578822912 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Hanscom Afb, Building 1709, Bedford, MA 01731 | 2012-05-04 |
| 1215099858 | Paul R. Rivest | Psychologist | 66th Mdg Sgoh, Hanscom Afb, MA 01731 | 2006-12-13 |
| 1497837843 | Mara Salis | Social Worker | 2 Eglin St, Hanscom Afb, MA 01731 | 2006-10-19 |
| 1790749398 | Lakshmi Kona | Internal Medicine | 1609 Eglin Street, Hanscon Afb, MA 01731 | 2006-04-12 |
| 1245210715 | Jay Scott Cloutier | Physical Therapist | 66 Mdg/sgo, 90 Vandeberg Ave, Hanscom Afb, MA 01731 | 2006-01-19 |
| 1972589828 | Aron R. Potter | Psychologist | 90 Vandenberg Drive, Bldg 1900 66 Mds (afmc), Hanscom Afb, MA 01731 | 2005-12-21 |
| 1730160938 | Mohammed Fuad | Physician Assistant | 66 Mds (afmc), 90 Vandenberg Dr. Bldg. 1900, Hanscom Afb, MA 01731 | 2005-11-07 |
| Find all providers in zip 01731 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104342286 | Grant Michael Hardisty | Dentist | 924 Williams Park Dr, Bedford, IN 47421-6713 | 2017-08-20 |
| 1750738019 | Floss and Gloss | Dentist | 505 N Industrial Blvd, #800, Bedford, TX 76021-6168 | 2016-05-17 |
| 1669853503 | Durga Buchupally | Dentist | 2212 Central Dr Ste 101, Bedford, TX 76021-5835 | 2015-06-16 |
| 1962827709 | Rizwaan Rauf, Dds Pllc | Dentist | 4105 Highway 121, 610, Bedford, TX 76021-3039 | 2014-03-04 |
| 1205186814 | Dulcimeire Schulmeyer | Dentist | 1404 Brown Trl Ste C, Bedford, TX 76022-6417 | 2012-09-12 |
| 1124387196 | 1-stop Dental Pllc | Dentist | 2101-150 Hardwood Road, Unit #6, Bedford, TX 76021 | 2012-05-11 |
| 1972819985 | Prachi Vartikar | Dentist | 3704 Cheek-sparger Road, Suite100, Bedford, TX 76201 | 2010-08-27 |
| 1780859934 | Susan Christine Millner | Dentist | 3808 Victoria Ct, Bedford, TX 76021-6159 | 2008-04-29 |
| 1073781852 | John C Holmes | Dentist | 448c Old Post Rd, Bedford, NY 10506 | 2008-02-14 |
| 1053590646 | Eugene Michael Tedaldi Sr. | Dentist | Main Street 26-28 Village Green, Suite 5, Bedford, NY 10506 | 2007-10-31 |
| Find all providers in BEDFORD | ||||
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| 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.