Provider Demographics
NPI:1578141867
Name:DR. STELLA DENTAL & CONSULTING LLC
Entity Type:Organization
Organization Name:DR. STELLA DENTAL & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-327-1699
Mailing Address - Street 1:504 RITTENHOUSE ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1237
Mailing Address - Country:US
Mailing Address - Phone:202-327-1699
Mailing Address - Fax:
Practice Address - Street 1:7838 EASTERN AVE NW STE D
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1335
Practice Address - Country:US
Practice Address - Phone:202-596-9094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty