Provider Demographics
NPI:1720592413
Name:ICARD AND STREIN PLLC
Entity Type:Organization
Organization Name:ICARD AND STREIN PLLC
Other - Org Name:ICARD AND STREIN FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:C
Authorized Official - Last Name:STREIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-455-5003
Mailing Address - Street 1:5500 HWY 49 SOUTH
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075
Mailing Address - Country:US
Mailing Address - Phone:704-455-5003
Mailing Address - Fax:704-455-3587
Practice Address - Street 1:5500 HWY 49 SOUTH
Practice Address - Street 2:SUITE 500
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075
Practice Address - Country:US
Practice Address - Phone:704-455-5003
Practice Address - Fax:704-455-3587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9502261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental