# STEPHEN R. TEITELBAUM, D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326186537
- **Authorized official:** DR. STEPHEN ROBERT TEITELBAUM D.D.S. (PRESIDENT)
- **Authorized official phone:** (561) 395-3453

## Contact information

- **Practice address:** 7000 W PALMETTO PARK RD, SUITE 303, BOCA RATON, FL 33433-3424
- **Practice address phone:** (561) 395-3453
- **Practice address fax:** (561) 395-3116
- **Mailing address:** 7000 W PALMETTO PARK RD, SUITE 303, BOCA RATON, FL 33433-3424
- **Mailing address phone:** (561) 395-3453
- **Mailing address fax:** (561) 395-3116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DN 7020 | FL | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 06/05/2012