Stephen J. Maroda Jr., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4274 Issued in TN

Practice address

2136 Exeter Rd
Suite 202
Germantown, TN 38138-3922

Phone

(901) 754-8002

Fax

(901) 759-9113

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Germantown-Bartlett Oral Surgery Group, )P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Germantown, TN
  • NPI 1760531974
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780779876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 EXETER RD",
            "address_2": "SUITE 202",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383922",
            "telephone_number": "901-754-8002",
            "fax_number": "901-759-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 EXETER RD",
            "address_2": "SUITE 202",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383922",
            "telephone_number": "901-754-8002",
            "fax_number": "901-759-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARODA",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "4274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Mantaro, PT
• Margaret Lashun Henderson-Lee (Internal Health and Medical Services)
• Suzanne Ray Margello, PA-C
• Cameron Russell Marks
• Ellen Evans Markwell, PT
• Ashley Marsh, FNP
• Martha Nan Hawkes PHP (The Medical Psychology Group)
• Aimee Denise Martin, M.S., C.G.C.
• Dustin Blaine Martin, DPT
• Jack Nicklaus Martin, DPT

• Oral and Maxillofacial Surgery (Dentist) in Germantown, TN
• Providers in Germantown, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.