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NPI Code Detail

MEDICARE: IRA STIER, D.D.S., PC

MEDICARE: IRA STIER, D.D.S., PC
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
1122300000XDentist

General Provider Information

NPI Number : 1659580124
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRA STIER, D.D.S., PC
Provider Business Mailing Address
First Line : 876 DUTCHESS TPKE
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12603-1540
Country : US
Telephone Number : 845-454-7023
Fax Number : 845-896-3638
Provider Business Practice Location Address
First Line : 876 DUTCHESS TPKE
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12603-1540
Country : US
Telephone Number : 845-454-7023
Fax Number : 845-896-3638
Authorized Official
Title or Position : PRESIDENT
Name : IRA STIER
Credential : DDS
Telephone Number : 845-454-7023
Provider Enumeration Date : 05/22/2007
Last Update Date : 12/27/2007

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