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NPI Code Detail

MEDICARE: STEPHEN Z DEMBITSKY DDS

MEDICARE: STEPHEN Z DEMBITSKY 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
11223G0001XGeneral Practice Dentistry104837CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126.43301.0000OTHERCOCO ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568462810
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN Z DEMBITSKY DDS
Provider Business Mailing Address
First Line : 160 E 26TH ST
Second Line : STE 1
City : RIFLE
State : CO
Zip : 81650-3160
Country : US
Telephone Number : 970-625-2345
Fax Number : 970-625-9080
Provider Business Practice Location Address
First Line : 160 E 26TH ST
Second Line : STE 1
City : RIFLE
State : CO
Zip : 81650-3160
Country : US
Telephone Number : 970-625-2345
Fax Number : 970-625-9080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 03/07/2023

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