Provider Demographics
NPI:1467586479
Name:STEIN, LAURENCE ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:ANDREW
Last Name:STEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 SW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3242
Mailing Address - Country:US
Mailing Address - Phone:315-221-6616
Mailing Address - Fax:305-221-6614
Practice Address - Street 1:2700 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3242
Practice Address - Country:US
Practice Address - Phone:315-221-6616
Practice Address - Fax:305-221-6614
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN65071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice