Provider Demographics
NPI:1871383281
Name:STERN, PAXTON NICHOLAS (DDS)
Entity type:Individual
Prefix:DR
First Name:PAXTON
Middle Name:NICHOLAS
Last Name:STERN
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 1:7615 KESTREL WAY W
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8255
Mailing Address - Country:US
Mailing Address - Phone:614-371-9144
Mailing Address - Fax:
Practice Address - Street 1:257 W GRANVILLE ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-9684
Practice Address - Country:US
Practice Address - Phone:740-480-2015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.027916122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist