Provider Demographics
NPI:1699989319
Name:STRATTON, STEPHEN GEORGE (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:GEORGE
Last Name:STRATTON
Suffix:
Gender:M
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 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14787-1413
Mailing Address - Country:US
Mailing Address - Phone:716-326-4622
Mailing Address - Fax:716-326-4492
Practice Address - Street 1:6 E 2ND ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NY
Practice Address - Zip Code:14787-1413
Practice Address - Country:US
Practice Address - Phone:716-326-4622
Practice Address - Fax:716-326-4492
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032241122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist