Provider Demographics
NPI:1194859579
Name:LAURENCE A STEIN DDS, PA
Entity Type:Organization
Organization Name:LAURENCE A STEIN DDS, PA
Other - Org Name:WASSERMAN AND STEIN, DDS, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-221-6616
Mailing Address - Street 1:2700 SW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3242
Mailing Address - Country:US
Mailing Address - Phone:305-221-6616
Mailing Address - Fax:305-221-6614
Practice Address - Street 1:2700 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3242
Practice Address - Country:US
Practice Address - Phone:305-221-6616
Practice Address - Fax:305-221-6614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN65071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty