MEDICARE: ERIKA STEVENS DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	1223G0001X	General Practice Dentistry	14265	NC

General Provider Information

NPI Number	:	1710664180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA STEVENS DMD

Provider Business Mailing Address
First Line	:	151 PARKVIEW CENTER CIR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-1788
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 PARKVIEW CENTER CIR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-1788
Country	:	US
Telephone Number	:	984-989-6131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	05/27/2026

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Directions to “ ERIKA STEVENS DMD” Practice Location

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