Provider Demographics
NPI:1326588823
Name:DRS. STEIN CULLEN DENTAL GROUP, LLC
Entity Type:Organization
Organization Name:DRS. STEIN CULLEN DENTAL GROUP, LLC
Other - Org Name:STEIN CULLEN FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-313-3609
Mailing Address - Street 1:675 CROSS KEYS RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-9564
Mailing Address - Country:US
Mailing Address - Phone:856-629-9100
Mailing Address - Fax:
Practice Address - Street 1:675 CROSS KEYS RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-9564
Practice Address - Country:US
Practice Address - Phone:856-629-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty