Provider Demographics
NPI:1437111556
Name:STEHULA, ERNEST MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:MICHAEL
Last Name:STEHULA
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 1:1548 W BRANCH ST
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-1818
Mailing Address - Country:US
Mailing Address - Phone:805-481-2273
Mailing Address - Fax:805-481-2784
Practice Address - Street 1:1548 W BRANCH ST
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-1818
Practice Address - Country:US
Practice Address - Phone:805-481-2273
Practice Address - Fax:805-481-2784
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2018-06-14
Deactivation Date:2014-12-04
Deactivation Code:
Reactivation Date:2018-06-14
Provider Licenses
StateLicense IDTaxonomies
CA245071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice