Provider Demographics
NPI:1891843215
Name:STEPHEN C. URA DDS PA
Entity Type:Organization
Organization Name:STEPHEN C. URA DDS PA
Other - Org Name:CENTER FOR DENTAL EXCELLENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:URA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-886-5500
Mailing Address - Street 1:74 NORTHEASTERN BLVD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-3192
Mailing Address - Country:US
Mailing Address - Phone:603-886-5500
Mailing Address - Fax:603-886-5544
Practice Address - Street 1:74 NORTHEASTERN BLVD
Practice Address - Street 2:SUITE 19
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-3192
Practice Address - Country:US
Practice Address - Phone:603-886-5500
Practice Address - Fax:603-886-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental