Healthcare Provider Details

I. General information

NPI: 1326152836
Provider Name (Legal Business Name): JANET HAMPTON STOESS-ALLEN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 02/23/2022
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 PARK AVENUE SUITE 102
NEW YORK NY
10028
US

IV. Provider business mailing address

935 PARK AVE STE 102
NEW YORK NY
10028-0212
US

V. Phone/Fax

Practice location:
  • Phone: 212-452-2777
  • Fax: 212-452-3363
Mailing address:
  • Phone: 212-452-2777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number040533
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: