MEDICARE: DR. STEPHEN M STEIN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	7149	CO

General Provider Information

NPI Number	:	1396742300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN M STEIN DDS

Provider Business Mailing Address
First Line	:	8671 S QUEBEC ST
Second Line	:	STE 230
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80130-5861
Country	:	US
Telephone Number	:	303-791-3232
Fax Number	:	303-791-4144

Provider Business Practice Location Address
First Line	:	8671 S QUEBEC ST
Second Line	:	STE 230
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80130-5861
Country	:	US
Telephone Number	:	303-791-3232
Fax Number	:	303-791-4144

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	11/02/2010

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