Fenstemaker, Stephen S.

Fenstemaker, Stephen S. is an individual health care provider with primary practice located at 309 Sherban Ct , Louisville OH 44641-1369. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fenstemaker, Stephen S. can be contacted via phone (330) 875-2832.

Contact Information

Primary practice address
309 Sherban Ct Louisville OH 44641-1369
Phone: (330) 875-2832
Fax: (330) 875-2492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 01-8734 Ohio

Profile Details

NPI number 1144212390
LBN Legal business name Fenstemaker, Stephen S.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jan 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144212390 NPPES
Ohio MEDICAID 0761653

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