Provider Demographics
NPI:1285011965
Name:SOLIE, STEPHEN EDMUND (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:EDMUND
Last Name:SOLIE
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 1:701 25TH AVE S STE 400
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454-1443
Mailing Address - Country:US
Mailing Address - Phone:612-659-4900
Mailing Address - Fax:612-659-4901
Practice Address - Street 1:701 25TH AVE S STE 400
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1443
Practice Address - Country:US
Practice Address - Phone:612-659-4900
Practice Address - Fax:612-659-4901
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program