Provider Demographics
NPI:1053505685
Name:STEIN, BARRY NOAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:NOAH
Last Name:STEIN
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 1:956 DEERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4155
Mailing Address - Country:US
Mailing Address - Phone:847-940-4700
Mailing Address - Fax:847-940-1400
Practice Address - Street 1:956 DEERFIELD RD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4155
Practice Address - Country:US
Practice Address - Phone:847-940-4700
Practice Address - Fax:847-940-1400
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist