Provider Demographics
NPI:1285643940
Name:HAND, STEPHEN O (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:O
Last Name:HAND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N TIOGA ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-4320
Mailing Address - Country:US
Mailing Address - Phone:607-272-8550
Mailing Address - Fax:607-275-0005
Practice Address - Street 1:102 N TIOGA ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-4320
Practice Address - Country:US
Practice Address - Phone:607-272-8550
Practice Address - Fax:607-275-0005
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310841223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY31084OtherDENTAL LICENSE