Provider Demographics
NPI:1194810606
Name:STEIN, ESTELLE R (DDS)
Entity type:Individual
Prefix:DR
First Name:ESTELLE
Middle Name:R
Last Name:STEIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S. WALNUT ST.
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:PA
Mailing Address - Zip Code:18014
Mailing Address - Country:US
Mailing Address - Phone:610-837-7811
Mailing Address - Fax:610-837-8744
Practice Address - Street 1:116 S. WALNUT ST.
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:PA
Practice Address - Zip Code:18014
Practice Address - Country:US
Practice Address - Phone:610-837-7811
Practice Address - Fax:610-837-8744
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024799L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice