Provider Demographics
NPI:1144423443
Name:STERN, GREENBAUM, KRANTZ AND SCHWARTZ
Entity Type:Organization
Organization Name:STERN, GREENBAUM, KRANTZ AND SCHWARTZ
Other - Org Name:FALLSGROVE CENTER FOR DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:301-610-9909
Mailing Address - Street 1:14955 SHADY GROVE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-8700
Mailing Address - Country:US
Mailing Address - Phone:301-610-9909
Mailing Address - Fax:301-610-9424
Practice Address - Street 1:14955 SHADY GROVE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-8700
Practice Address - Country:US
Practice Address - Phone:301-610-9909
Practice Address - Fax:301-610-9424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty