Individual
DR. STEPHEN S. FENSTEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
309 SHERBAN CT, LOUISVILLE, OH 44641-1369
(330) 875-2832
(330) 875-2492
Mailing address
309 SHERBAN CT, LOUISVILLE, OH 44641-1369
(330) 875-2832
(330) 875-2492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01-8734
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0761653
—
OH
Enumeration date
08/15/2005
Last updated
01/23/2008
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