Provider Demographics
NPI:1144610130
Name:KUREN, STANLEY (DMD,MSD)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:
Last Name:KUREN
Suffix:
Gender:M
Credentials:DMD,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-8341
Mailing Address - Country:US
Mailing Address - Phone:724-454-3382
Mailing Address - Fax:
Practice Address - Street 1:420 HARVEST DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-8341
Practice Address - Country:US
Practice Address - Phone:724-454-3382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022905L1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics