Provider Demographics
NPI:1649559493
Name:SHTEYNSHLEYGER, IGOR S (DDS)
Entity Type:Individual
Prefix:DR
First Name:IGOR
Middle Name:S
Last Name:SHTEYNSHLEYGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4242 E WEST HWY
Mailing Address - Street 2:703
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5934
Mailing Address - Country:US
Mailing Address - Phone:301-792-1912
Mailing Address - Fax:
Practice Address - Street 1:4242 E WEST HWY
Practice Address - Street 2:703
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5934
Practice Address - Country:US
Practice Address - Phone:301-792-1912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD116051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice