Provider Demographics
NPI:1649419037
Name:STEPNICK, TERRY JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:JAMES
Last Name:STEPNICK
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 1:2804 GOLDEN MILE HWY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2400
Mailing Address - Country:US
Mailing Address - Phone:724-325-1050
Mailing Address - Fax:724-327-3021
Practice Address - Street 1:2804 GOLDEN MILE HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-2400
Practice Address - Country:US
Practice Address - Phone:724-325-1050
Practice Address - Fax:724-327-3021
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-025950-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice