Individual
STEPHEN W STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 EAST WENDOVER AVE SUITE 111, PIEDMONT ORAL MAXILLOFACIAL FAC CTR, GREENSBORO, NC 27401
(336) 273-1000
(336) 275-9919
Mailing address
301 EAST WENDOVER AVE SUITE 111, PIEDMONT ORAL MAXILLOFACIAL FAC CTR, GREENSBORO, NC 27401
(336) 273-1000
(336) 275-9919
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
4540
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998158
—
NC
Enumeration date
11/16/2006
Last updated
07/08/2007
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