Provider Demographics
NPI:1912072679
Name:DEL CARMEN, STEPHANIE RENEE (DDS MS)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:RENEE
Last Name:DEL CARMEN
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 LANDESS AVE STE 142
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-8212
Mailing Address - Country:US
Mailing Address - Phone:408-945-8880
Mailing Address - Fax:408-945-8880
Practice Address - Street 1:1535 LANDESS AVE STE 142
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-8212
Practice Address - Country:US
Practice Address - Phone:408-945-8880
Practice Address - Fax:408-945-8880
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA384151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics