Provider Demographics
NPI:1083002422
Name:SCHLOSS, STEVEN (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:SCHLOSS
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 1:36 W 44TH ST
Mailing Address - Street 2:SUITE. 402
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-8102
Mailing Address - Country:US
Mailing Address - Phone:212-873-1234
Mailing Address - Fax:917-979-4542
Practice Address - Street 1:36 W 44TH ST
Practice Address - Street 2:SUITE. 402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8102
Practice Address - Country:US
Practice Address - Phone:212-873-1234
Practice Address - Fax:917-979-4542
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036361122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist