Lindsey Stein, D.D.S
Individual provider Active NPI Dentist · Perry, NY
NPI 1174766992 · NPPES record last updated Feb 12, 2011
Key facts
- NPI
- 1174766992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 054405 (NY)
- Practice address
- 114 North Center Street
Perry, NY 14530 - Phone
- (716) 289-4313
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150727001594 | NY | Order and Referring Only - Oral Surgery |
6800100413 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054405 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 054405 | NY | Yes |
Addresses
Primary practice location
114 North Center Street
Perry, NY 14530
Mailing address
114 North Center Street
Perry, NY 14530
Phone (716) 289-4313
Other providers in Perry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.