DR. STEPHANIE R BOONE (NPI# 1063740579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063740579 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE R BOONE |
| Credential | DDS |
| Practice Address |
4173 Patterson Ave Baltimore MD 21215-2221 |
| Mailing Address |
400 Galleria Pkwy Se Suite 800 Atlanta GA 30339-5980 |
| Practice Telephone | 6789045665 |
| Mailing Telephone | 6789045665 |
| Mailing Fax Number | 6782477862 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13684 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727112 | Stephanie Lynn Boone | Registered Nurse | 253 Londonderry Rd, Harrogate, TN 37752-3726 | 2020-07-14 |
| 1346698933 | Stephanie Boone | Technician, Other | 14182 Bangor Dr, Sterling Heights, MI 48313-5404 | 2016-05-24 |
| 1063731511 | Stephanie Emma Boone | Registered Nurse | Usa Meddac Baveria, Cmr 411, Bldg 700, Rose Barracks, Apo, AE 09112 | 2010-05-24 |
| 1871792333 | Stephanie Denise Boone | Speech-Language Pathologist | 1400 Fordham Dr, Virginia Beach, VA 23464-5368 | 2007-07-15 |
| Street Address |
4173 PATTERSON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235364845 | Dr. David M. Vieth 2, PC | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2009-05-27 |
| 1902448640 | Nargis Jordan | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2019-10-15 |
| 1184172280 | Mona Najafi | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2016-09-17 |
| 1326406265 | Youjin Park | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2016-02-07 |
| 1649662586 | Bethany Schiefer | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2015-03-02 |
| 1306250154 | Marisol Sastoque-tiller | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2014-06-19 |
| 1447681507 | Anand Francis | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2013-11-27 |
| 1245595826 | Rui Ma | Dentist | 4173 Patterson Ave, Baltimore, MD 21215 | 2012-07-10 |
| 1164717674 | Sodam Lee | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2011-06-13 |
| 1396030938 | Emily Lin | Dentist | 4173 Patterson Ave, Baltimore, MD 21215-2221 | 2011-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1063050714 | Benjamin Franklin Shelton | Dentist | 1501 E 33rd St, Baltimore, MD 21218-3706 | 2019-12-12 |
| 1093351314 | Anna Finkler Dds LLC | Dentist | 4 Reservoir Cir Ste 100, Baltimore, MD 21208-6360 | 2019-11-21 |
| 1528626447 | Healthy Dental of Baltimore LLC | Dentist | 2103 W Patapsco Ave, Baltimore, MD 21230-2946 | 2019-06-05 |
| 1851857668 | Laura Carvalho Kim | Dentist | 2 Hopkins Plz Unit 1511, Baltimore, MD 21201-2942 | 2019-02-17 |
| 1720560733 | Eugene Jang | Dentist | 5710 Bellona Ave Ste 101, Baltimore, MD 21212-3500 | 2018-09-06 |
| 1861985434 | Dana R. Weikel | Dentist | 650 W Baltimore St Fl 7, Baltimore, MD 21201-1510 | 2018-06-08 |
| 1518460062 | Dental Dreams, LLC | Dentist | 6532 Reisterstown Rd, Baltimore, MD 21215-2304 | 2018-03-12 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1073025177 | Ward Levingston Massey | Dentist | 650 W Baltimore St Rm 3-201, Baltimore, MD 21201-1510 | 2017-10-30 |
| Find all providers in BALTIMORE | ||||
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| 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.