Alan Elloit Stern, DDS
Individual provider Active NPI General Practice Dentistry · Leonia, NJ
NPI 1376562124 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376562124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 31616 (NY)
- Practice address
- 409 Birch LN
Leonia, NJ 07605-1411 - Phone
- (201) 679-4924
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31616 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31616 | NY | Yes |
Addresses
Primary practice location
409 Birch LN
Leonia, NJ 07605-1411
Mailing address
409 Birch LN
Leonia, NJ 07605-1411
Phone (201) 947-5741
Other providers in Leonia, NJ
- Sensory Solutions
- Sylvia Shaik
- SNN Transport
- Mercy Solorzano
- Jung Hoon Son
- Daniel Suh
- Hyejung Sung
- Alessandra Taylor
- Thompson Mental Health Counseling PLLC
- Stephanie Tsai-Kim
All providers in Leonia, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.