Provider Demographics
NPI:1366539397
Name:STEPKA, EDWARD JOHN JR (DMD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:JOHN
Last Name:STEPKA
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 GREAT ROAD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NO SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896
Mailing Address - Country:US
Mailing Address - Phone:401-766-9857
Mailing Address - Fax:401-762-0871
Practice Address - Street 1:501 GREAT ROAD
Practice Address - Street 2:SUITE 207
Practice Address - City:NO SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896
Practice Address - Country:US
Practice Address - Phone:401-766-9857
Practice Address - Fax:401-762-0871
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIRI16281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice