- Practice location
- 339 Squire RD Ste 150, Revere, MA 02151-4396
- Phone
- 781-286-7510
- Fax
- —
- Last updated
- August 14, 2024
Stephanie Fang is a Dentist based in Revere, MA. Stephanie Fang practices in Revere, MA. The NPI Number for Stephanie Fang is 1235817842 and holds a License No. DN10000454 (MA). The current practice location address for Stephanie Fang is 339 Squire RD Ste 150, Revere, MA 02151-4396 and can be reached out via phone at 781-286-7510.
Provider Profile Details
- NPI Number
- 1235817842
- Provider Name
- Stephanie Fang
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 339 Squire RD Ste 150, Revere, MA 02151-4396
- Phone Number
- 781-286-7510
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2023
- Last Update Date
- August 14, 2024
- Certification Date
- August 14, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 339 Squire RD Ste 150
Revere, MA 02151-4396 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-4396
- Phone Number
- 781-286-7510
Provider Business Mailing Address Details
- Address
- 345 E 24TH St
New York, NY 10010-4020 - City
- New York
- State
- NY
- Zip
- 10010-4020
- Phone Number
- 212-998-9800
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- DN10000454
- License State (2)
- MA
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Revere, MA
View all Dentists in Revere →Frequently Asked Questions
What is the NPI number of Stephanie Fang?
The NPI number of Stephanie Fang is 1235817842. It was assigned on July 5, 2023 and is currently active in the NPPES registry.
What is the specialty of Stephanie Fang?
Stephanie Fang is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN10000454.
Where does Stephanie Fang practice?
The practice location is 339 Squire RD Ste 150, Revere, MA 02151-4396. The office can be reached at 781-286-7510 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235817842 directly on the NPPES registry website.