John, Stephen Robert

John, Stephen Robert is an sole proprietor health care provider with primary practice located at 731 Walnut St , San Carlos CA 94070-3179. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. John, Stephen Robert can be contacted via phone (650) 430-0186.

Contact Information

Primary practice address
731 Walnut St San Carlos CA 94070-3179
Phone: (650) 430-0186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 32858 California
Dental Providers / Periodontics 1223P0300X 32858 California

Profile Details

NPI number 1558790915
LBN Legal business name John, Stephen Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2013
Last updated Jan 14th, 2024 - about 11 months 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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