Healthcare Provider Details

I. General information

NPI: 1568397693
Provider Name (Legal Business Name): IRENE G STEPENSKY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13873 PARK CENTER RD STE 137
HERNDON VA
20171-3248
US

IV. Provider business mailing address

2600 S UNIVERSITY DR APT 222
DAVIE FL
33328-1466
US

V. Phone/Fax

Practice location:
  • Phone: 703-478-0115
  • Fax:
Mailing address:
  • Phone: 305-898-0015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401420029
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: