Provider Demographics
NPI:1548459886
Name:CHAFKIN, STEPHEN B (DMD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:B
Last Name:CHAFKIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 NEEDHAM ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1574
Mailing Address - Country:US
Mailing Address - Phone:617-964-0350
Mailing Address - Fax:
Practice Address - Street 1:281 NEEDHAM ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02464-1574
Practice Address - Country:US
Practice Address - Phone:617-964-0350
Practice Address - Fax:617-796-7896
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA128861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice