Provider Demographics
NPI:1023428422
Name:HEMMIG, STEPHEN BRIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:BRIAN
Last Name:HEMMIG
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 1:5108 PIPER GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-0389
Mailing Address - Country:US
Mailing Address - Phone:704-846-7009
Mailing Address - Fax:
Practice Address - Street 1:5108 PIPER GLEN DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-0389
Practice Address - Country:US
Practice Address - Phone:704-846-7009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4066122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist