Provider Demographics
NPI:1043213531
Name:BEAR, STEVEN H (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:H
Last Name:BEAR
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 1:285 SILLS ROAD
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-4857
Mailing Address - Country:US
Mailing Address - Phone:631-289-7670
Mailing Address - Fax:631-289-7678
Practice Address - Street 1:285 SILLS ROAD
Practice Address - Street 2:SUITE 4A
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11764-4857
Practice Address - Country:US
Practice Address - Phone:631-289-7670
Practice Address - Fax:631-289-7678
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY327801223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics