Connelly, Stephen Thaddeus

Connelly, Stephen Thaddeus is an individual health care provider with primary practice located at 4150 Clement St , San Francisco CA 94121-1545. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Connelly, Stephen Thaddeus can be contacted via phone (415) 476-8999.

Contact Information

Primary practice address
4150 Clement St San Francisco CA 94121-1545
Phone: (415) 476-8999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X A95042 California

Profile Details

NPI number 1720201692
LBN Legal business name Connelly, Stephen Thaddeus
Credentials M.D.,D.D.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Apr 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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