Provider Demographics
NPI:1700606019
Name:STEIN, ALEXANDRA CAITLIN (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:CAITLIN
Last Name:STEIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 E 72ND ST APT 5J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4653
Mailing Address - Country:US
Mailing Address - Phone:917-579-8129
Mailing Address - Fax:
Practice Address - Street 1:399 E 72ND ST APT 5J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4653
Practice Address - Country:US
Practice Address - Phone:917-579-8129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI030425001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics