Provider Demographics
NPI:1134195035
Name:PYLE, STEPHEN J (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:PYLE
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 1:2239 N COMMERCE PKWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3249
Mailing Address - Country:US
Mailing Address - Phone:954-349-4004
Mailing Address - Fax:954-349-4006
Practice Address - Street 1:2239 N COMMERCE PKWY
Practice Address - Street 2:SUITE 1
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3249
Practice Address - Country:US
Practice Address - Phone:954-349-4004
Practice Address - Fax:954-349-4006
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN98951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice