Provider Demographics
NPI:1376290346
Name:STENVALL AND ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:STENVALL AND ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-542-6533
Mailing Address - Street 1:7251 PINEVILLE MATTHEWS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-6159
Mailing Address - Country:US
Mailing Address - Phone:704-542-6533
Mailing Address - Fax:704-540-1849
Practice Address - Street 1:7251 PINEVILLE MATTHEWS RD STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-6159
Practice Address - Country:US
Practice Address - Phone:704-542-6533
Practice Address - Fax:704-540-1849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty