Healthcare Provider Details

I. General information

NPI: 1396420246
Provider Name (Legal Business Name): STERN ENDODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 OCEAN AVE STE 1
BROOKLYN NY
11230-7359
US

IV. Provider business mailing address

2080 OCEAN AVE STE 1
BROOKLYN NY
11230-7359
US

V. Phone/Fax

Practice location:
  • Phone: 347-443-0213
  • Fax:
Mailing address:
  • Phone: 718-676-5226
  • Fax:

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. MOSES STERN
Title or Position: MEMBER
Credential: DDS
Phone: 347-443-0213