Provider Demographics
NPI:1093066987
Name:KARYN STERN DMD PC
Entity Type:Organization
Organization Name:KARYN STERN DMD PC
Other - Org Name:WORCESTER ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARYN
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-755-3636
Mailing Address - Street 1:255 PARK AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1953
Mailing Address - Country:US
Mailing Address - Phone:508-755-3636
Mailing Address - Fax:508-791-7245
Practice Address - Street 1:255 PARK AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1953
Practice Address - Country:US
Practice Address - Phone:508-755-3636
Practice Address - Fax:508-791-7245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty