Provider Demographics
NPI:1336580927
Name:PRICE, STEPHANIE MEANS (DDS, MS, AADSM, ABGD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MEANS
Last Name:PRICE
Suffix:
Gender:
Credentials:DDS, MS, AADSM, ABGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 53144
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-3144
Mailing Address - Country:US
Mailing Address - Phone:910-323-1410
Mailing Address - Fax:910-323-1945
Practice Address - Street 1:1417 FORT BRAGG RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-4707
Practice Address - Country:US
Practice Address - Phone:910-323-1410
Practice Address - Fax:910-323-1495
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9541122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist