Healthcare Provider Details

I. General information

NPI: 1396973681
Provider Name (Legal Business Name): MATTHEW ALLDREDGE STEVENS D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18680 E ILIFF AVE STE AB
AURORA CO
80013-6540
US

IV. Provider business mailing address

18680 E ILIFF AVE STE AB
AURORA CO
80013-6540
US

V. Phone/Fax

Practice location:
  • Phone: 303-751-5010
  • Fax:
Mailing address:
  • Phone: 303-751-5010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD9268
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN.00010216
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: