Provider Demographics
NPI:1407969264
Name:STOWE, STEINBICKER, TAYLOR & ALBERTSON, D.D.S P.A
Entity type:Organization
Organization Name:STOWE, STEINBICKER, TAYLOR & ALBERTSON, D.D.S P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:STOWE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-765-1881
Mailing Address - Street 1:1410 PLAZA WEST DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1401
Mailing Address - Country:US
Mailing Address - Phone:336-765-1881
Mailing Address - Fax:336-765-3250
Practice Address - Street 1:1410 PLAZA WEST DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1401
Practice Address - Country:US
Practice Address - Phone:336-765-1881
Practice Address - Fax:336-765-3250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC68821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8990079Medicaid