Cosentino, Stephen James
Cosentino, Stephen James is an sole proprietor health care provider with primary practice located at 1215 Doctors Drive , Tyler TX 75701. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cosentino, Stephen James can be contacted via phone (903) 592-8152.Contact Information
Primary practice address
1215 Doctors Drive
Tyler TX 75701
Phone: (903) 592-8152
Fax: (903) 592-7583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 15026 | Texas |
Profile Details
| NPI number | 1851466064 |
|---|---|
| LBN Legal business name | Cosentino, Stephen James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 15th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851466064 | NPPES |
| Other | 865734 | UNITED CONCORDIA | |
| MEDICAID | 126700705 | UNITED CONCORDIA | |
| MEDICAID | 126700702 | UNITED CONCORDIA |
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