Provider Demographics
NPI:1649219072
Name:MICHAEL B. STEIN, DMD, PC
Entity Type:Organization
Organization Name:MICHAEL B. STEIN, DMD, PC
Other - Org Name:THE STEIN DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-329-8444
Mailing Address - Street 1:1081 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-1824
Mailing Address - Country:US
Mailing Address - Phone:203-329-8444
Mailing Address - Fax:203-329-1256
Practice Address - Street 1:1081 HOPE ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06907-1824
Practice Address - Country:US
Practice Address - Phone:203-329-8444
Practice Address - Fax:203-329-1256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004518122300000X
CT008774122300000X
CT008676122300000X
CTCT009150122300000X
CT007693122300000X
CT005936CT021223E0200X
CT0075631223P0300X
CT0085341223S0112X
CT0089631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Multi-Specialty
Not Answered1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
Not Answered1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty