Provider Demographics
NPI:1730250895
Name:HSU, STEPHEN S (DMD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:S
Last Name:HSU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:SHYH-LIH
Other - Middle Name:
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:32 STILES RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2892
Mailing Address - Country:US
Mailing Address - Phone:603-898-8611
Mailing Address - Fax:
Practice Address - Street 1:32 STILES RD
Practice Address - Street 2:SUITE 207
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2892
Practice Address - Country:US
Practice Address - Phone:603-898-8611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH23771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice