Provider Demographics
NPI:1255467361
Name:KLAFTER, STEPHEN H (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:H
Last Name:KLAFTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:NY
Mailing Address - Zip Code:12754-1820
Mailing Address - Country:US
Mailing Address - Phone:845-292-3331
Mailing Address - Fax:845-292-3331
Practice Address - Street 1:184 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NY
Practice Address - Zip Code:12754-1820
Practice Address - Country:US
Practice Address - Phone:845-292-3331
Practice Address - Fax:845-292-3331
Is Sole Proprietor?:No
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0275881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice