Healthcare Provider Details

I. General information

NPI: 1598377095
Provider Name (Legal Business Name): STEPHEN DOH DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1147 UNIVERSITY BLVD E
TAKOMA PARK MD
20912-7444
US

IV. Provider business mailing address

2 HOPKINS PLZ UNIT 1105
BALTIMORE MD
21201-2938
US

V. Phone/Fax

Practice location:
  • Phone: 573-596-0417
  • Fax:
Mailing address:
  • Phone: 573-596-0417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18239
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: