Provider Demographics
NPI:1295841237
Name:DAVID A. STEIN, DMD, INC
Entity Type:Organization
Organization Name:DAVID A. STEIN, DMD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:831-424-1535
Mailing Address - Street 1:1107 LOS PALOS DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3888
Mailing Address - Country:US
Mailing Address - Phone:831-424-1535
Mailing Address - Fax:831-424-0953
Practice Address - Street 1:1107 LOS PALOS DR
Practice Address - Street 2:SUITE 4
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3888
Practice Address - Country:US
Practice Address - Phone:831-424-1535
Practice Address - Fax:831-424-0953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA297481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty