Healthcare Provider Details

I. General information

NPI: 1356026652
Provider Name (Legal Business Name): STELLA AND ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 US-70
GARNER NC
27529-2549
US

IV. Provider business mailing address

10931 STRICKLAND RD STE 101
RALEIGH NC
27615-2085
US

V. Phone/Fax

Practice location:
  • Phone: 919-844-7140
  • Fax: 919-845-6065
Mailing address:
  • Phone: 919-844-7140
  • Fax: 919-845-6065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL STELLA
Title or Position: OWNER
Credential: DDS, MS
Phone: 919-844-7140