Provider Demographics
NPI:1154540821
Name:STERN, STEVEN M (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:STERN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 S POPPY ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-6495
Mailing Address - Country:US
Mailing Address - Phone:716-984-7519
Mailing Address - Fax:
Practice Address - Street 1:2295 S POPPY ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-6495
Practice Address - Country:US
Practice Address - Phone:716-984-7519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0432211223E0200X
CODEN.002054341223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics