Provider Demographics
NPI:1447563069
Name:RHOADS, STEPHANIE GOLUBIC (DMD, MBE, MS)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:GOLUBIC
Last Name:RHOADS
Suffix:
Gender:F
Credentials:DMD, MBE, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 GRAHAM PARK DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-8330
Mailing Address - Country:US
Mailing Address - Phone:724-742-2300
Mailing Address - Fax:
Practice Address - Street 1:132 GRAHAM PARK DR
Practice Address - Street 2:SUITE 300
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-8330
Practice Address - Country:US
Practice Address - Phone:724-742-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-24
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0383221223X0400X
OH300232081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics