DR. STEPHEN GLEN ALFANO


Address: 217 Marine Ave Ste A, Balboa Island, CA 92662-1289
Phone: 9496737820

DR. STEPHEN GLEN ALFANO (NPI# 1427045236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427045236
Entity Type Individual
Full Name DR. STEPHEN GLEN ALFANO
Credential DDS
Practice Address 217 Marine Ave Ste A
Balboa Island
CA 92662-1289
Mailing Address Po Box 463
Balboa Island
CA 92662-0463
Practice Telephone 9496737820
Practice Fax Number 9496736682
Mailing Telephone 9496737820
Mailing Fax Number 9496736682
Enumeration Date 2005-10-06
Last Update Date 2016-11-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 56564 CA Dental Providers
N 122300000X Dentist DS039820 PA Dental Providers
N 1223P0700X Dentist
Specialization: Prosthodontics
17058 TX Dental Providers

Office Location

Street Address 217 MARINE AVE STE A
City BALBOA ISLAND
State CA
Zip Code 92662-1289

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1609074509 Brian Rayner Physical Therapist 229 Marine Ave, Newport Beach, CA 92662-1247 2007-07-03
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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1568063634 Western Dental Services, Inc. Dentist 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 2020-11-05
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1407457856 Yiyang Zou Dentist 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 2020-11-03
1851992481 Centinela Joseph Dental Group Dentist 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 2020-11-02
1518568138 Raime Shah Dentist 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 2020-11-02
1558961359 Tony Tataro Dentist 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 2020-10-29
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Competitor

Search similar providers

City BALBOA ISLAND
Zip Code 92662

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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