MEDICARE: MICHAEL R STEIN DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	15870	OH

General Provider Information

NPI Number	:	1457434805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL R STEIN DDS INC

Provider Business Mailing Address
First Line	:	5851 PEARL RD
Second Line	:	SUITE 301
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-2112
Country	:	US
Telephone Number	:	440-845-7050
Fax Number	:	440-809-0100

Provider Business Practice Location Address
First Line	:	5851 PEARL RD
Second Line	:	SUITE 301
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-2112
Country	:	US
Telephone Number	:	440-845-7050
Fax Number	:	440-809-0100

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL R STEIN
Credential	:	DDS
Telephone Number	:	440-845-7050

Provider Enumeration Date	:	10/21/2006
Last Update Date	:	08/22/2020

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