Stephen Richard Stentzel, D.D.S.

Individual provider Active NPI General Practice Dentistry · Greenville, OH

NPI 1801919261 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1801919261
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
30018043 (OH)
Practice address
444 Bur Oak Dr
Greenville, OH 45331-4352
Phone
(937) 548-2635
NPI assigned
Apr 9, 2007
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)
No

State licenses

LicenseStateTypeSpecialty
30018043OHMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30018043 OH Yes

Addresses

Primary practice location

444 Bur Oak Dr
Greenville, OH 45331-4352

Mailing address

444 Bur Oak Dr
Greenville, OH 45331-4352

Other providers in Greenville, OH

All providers in Greenville, OH · General Practice Dentistry in Ohio

Sources for this page

Verify at the official NPI Registry.