Provider Demographics
NPI:1972789402
Name:STROBER, STEPHEN I (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:I
Last Name:STROBER
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 1:7031 108TH ST
Mailing Address - Street 2:STE 5
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4450
Mailing Address - Country:US
Mailing Address - Phone:718-268-1302
Mailing Address - Fax:718-268-3603
Practice Address - Street 1:7031 108TH ST
Practice Address - Street 2:STE 5
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4450
Practice Address - Country:US
Practice Address - Phone:718-268-1302
Practice Address - Fax:718-268-3603
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0246781223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics