Provider Demographics
NPI:1679792360
Name:STEVENSON, ROBERT BENJAMIN III (DDS MS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BENJAMIN
Last Name:STEVENSON
Suffix:III
Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:3600 OLENTANGY RIVER ROAD
Mailing Address - Street 2:SUITE D3
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3437
Mailing Address - Country:US
Mailing Address - Phone:614-451-2767
Mailing Address - Fax:614-451-2988
Practice Address - Street 1:3600 OLENTANGY RIVER ROAD
Practice Address - Street 2:SUITE D3
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3437
Practice Address - Country:US
Practice Address - Phone:614-451-2767
Practice Address - Fax:614-451-2988
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OH153471223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics