Healthcare Provider Details

I. General information

NPI: 1891843215
Provider Name (Legal Business Name): STEPHEN C. URA DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 NORTHEASTERN BLVD SUITE 19
NASHUA NH
03062-3192
US

IV. Provider business mailing address

74 NORTHEASTERN BLVD SUITE 19
NASHUA NH
03062-3192
US

V. Phone/Fax

Practice location:
  • Phone: 603-886-5500
  • Fax: 603-886-5544
Mailing address:
  • Phone: 603-886-5500
  • Fax: 603-886-5544

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. STEPHEN C URA
Title or Position: PRESIDENT
Credential: DDS
Phone: 603-886-5500