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Stephen Alex Fasteau, DDS
General Practice Dentistry in Ellicott City, Maryland
NPI 1841861952

Stephen Alex Fasteau is a General Practice Dentistry based in Ellicott City, MD and is specialized in General Practice. Stephen Alex Fasteau practices in Ellicott City, MD and has the professional credentials of DDS. The NPI Number for Stephen Alex Fasteau is 1841861952 and holds a License No. 17491 (Maryland).

The current practice location address for Stephen Alex Fasteau is 5042 Dorsey Hall Dr Ste 102, Ellicott City, MD and can be reached out via phone at 410-964-3020.

Location: 5042 Dorsey Hall Dr Ste 102, Ellicott City, MD, 21042-7826
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Provider Profile Details
NPI Number
1841861952
Provider Name
Stephen Alex Fasteau
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5042 Dorsey Hall Dr Ste 102, Ellicott City, MD, 21042-7826
Phone Number
410-964-3020
Fax Number
Provider Enumeration Date
07/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17491 01 MD MARYLAND STATE BOARD OF DENTAL EXAMINERS
institution
Provider Business Practice Location Address Details
Address
5042 Dorsey Hall Dr Ste 102
City
State
Zip
21042-7826
Phone Number
410-964-3020
Fax Number
person
Provider Business Mailing Address Details
Address
5042 Dorsey Hall Dr Ste 102
City
State
Zip
21042-7826
Phone Number
410-964-3020
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
17491 (Maryland)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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