Provider Demographics
NPI:1386778355
Name:STEGE, PATRICIA MARIE (DDS)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARIE
Last Name:STEGE
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 1:6 BEAUCLAIRE LN
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-4618
Mailing Address - Country:US
Mailing Address - Phone:585-425-4286
Mailing Address - Fax:585-383-0818
Practice Address - Street 1:2828 BAIRD RD
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-1247
Practice Address - Country:US
Practice Address - Phone:585-383-0840
Practice Address - Fax:585-383-0818
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0361241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice