Provider Demographics
NPI:1346855830
Name:CATONI, STEPHANIE
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:CATONI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FLUGPLATZ ERBENHEIM 1040
Mailing Address - Street 2:
Mailing Address - City:WIESBADEN
Mailing Address - State:GERMANY
Mailing Address - Zip Code:65205
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:FLUGPLATZ ERBENHEIM 1040
Practice Address - Street 2:
Practice Address - City:WIESBADEN
Practice Address - State:GERMANY
Practice Address - Zip Code:65205
Practice Address - Country:DE
Practice Address - Phone:314-590-1515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD11328122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist