Provider Demographics
NPI:1609014596
Name:FIELD, STUART DONALD (DMD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:DONALD
Last Name:FIELD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 WEST BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5501
Mailing Address - Country:US
Mailing Address - Phone:610-868-2001
Mailing Address - Fax:610-868-2213
Practice Address - Street 1:421 WEST BROAD STREET
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5501
Practice Address - Country:US
Practice Address - Phone:610-868-2001
Practice Address - Fax:610-868-2213
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-025443-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist