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Contact Information

ERIC STEFANSKI, DDS
3410 DOUGLAS RD
SOUTH BEND, IN46635
 Phone: 574-234-4117
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ERIC STEFANSKI · (Male)

NPI Number 1174905343
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/24/2015
Last updated 03/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12013116A
  • MI License # 2901021614
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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