Provider Demographics
NPI:1457434805
Name:MICHAEL R STEIN DDS INC
Entity type:Organization
Organization Name:MICHAEL R STEIN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-845-7050
Mailing Address - Street 1:5851 PEARL RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-2112
Mailing Address - Country:US
Mailing Address - Phone:440-845-7050
Mailing Address - Fax:440-809-0100
Practice Address - Street 1:5851 PEARL RD
Practice Address - Street 2:SUITE 301
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-2112
Practice Address - Country:US
Practice Address - Phone:440-845-7050
Practice Address - Fax:440-809-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15870261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental