Provider Demographics
NPI:1730427667
Name:PRESSLING, STEFAN J (DDS)
Entity type:Individual
Prefix:MR
First Name:STEFAN
Middle Name:J
Last Name:PRESSLING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3460 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1173
Mailing Address - Country:US
Mailing Address - Phone:773-549-2800
Mailing Address - Fax:
Practice Address - Street 1:3460 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1173
Practice Address - Country:US
Practice Address - Phone:773-549-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL190016906122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1508977646OtherTYPE 2 NPI