Provider Demographics
NPI:1770607020
Name:STEPNICK, ROBERT JAMES (DDS MS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JAMES
Last Name:STEPNICK
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3061 COLLEGE GREEN DRIVE
Mailing Address - Street 2:STE D
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-3203
Mailing Address - Country:US
Mailing Address - Phone:209-383-3816
Mailing Address - Fax:209-383-3817
Practice Address - Street 1:3061 COLLEGE GREEN DRIVE
Practice Address - Street 2:STE D
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-3203
Practice Address - Country:US
Practice Address - Phone:209-383-3816
Practice Address - Fax:209-383-3817
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADN216521223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics