Provider Demographics
NPI:1497906457
Name:WILLIAM E. STEIN, D.D.S.
Entity Type:Organization
Organization Name:WILLIAM E. STEIN, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-927-3785
Mailing Address - Street 1:18 3RD ST SW
Mailing Address - Street 2:
Mailing Address - City:AITKIN
Mailing Address - State:MN
Mailing Address - Zip Code:56431-1642
Mailing Address - Country:US
Mailing Address - Phone:218-927-3785
Mailing Address - Fax:
Practice Address - Street 1:18 3RD ST SW
Practice Address - Street 2:
Practice Address - City:AITKIN
Practice Address - State:MN
Practice Address - Zip Code:56431-1642
Practice Address - Country:US
Practice Address - Phone:218-927-3785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN79781223G0001X
MN92861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty