Provider Demographics
NPI:1174527428
Name:STEIN, DAVID ALAN (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:STEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2314
Mailing Address - Country:US
Mailing Address - Phone:518-346-2500
Mailing Address - Fax:518-346-2618
Practice Address - Street 1:30 UNION AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2314
Practice Address - Country:US
Practice Address - Phone:518-346-2500
Practice Address - Fax:518-346-2618
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY351121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice