Provider Demographics
NPI:1144392259
Name:STEMPORA, STEVEN F (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:STEMPORA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:F
Other - Last Name:STEMPORA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:333 CIRCLE AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60130-3624
Mailing Address - Country:US
Mailing Address - Phone:708-771-0330
Mailing Address - Fax:
Practice Address - Street 1:333 CIRCLE AVE
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:IL
Practice Address - Zip Code:60130-3624
Practice Address - Country:US
Practice Address - Phone:708-771-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice