Provider Demographics
NPI:1174740203
Name:STEIN & SHANNON D.M.D.
Entity type:Organization
Organization Name:STEIN & SHANNON D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:YESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-757-4611
Mailing Address - Street 1:2835 EASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2909
Mailing Address - Country:US
Mailing Address - Phone:717-757-4611
Mailing Address - Fax:717-600-1900
Practice Address - Street 1:2835 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2909
Practice Address - Country:US
Practice Address - Phone:717-757-4611
Practice Address - Fax:717-600-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty