Doctor Name: | DR. ILISA BETH STERN |
NPI Number: | 1518001957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD |
License Number: | DN013323 |
Business Practice Address: | 2095 Highway 211 Nw Suite 6a Braselton, GA - 305173402 |
Business Phone Number: | 7708684288 |
Business Fax Number: | |
Mailing Address: | 1245 Worthington Hills Dr, ROSWELL |
State: | GA |
Postal Code: | 300761752 |
Phone Number: | 7704023131 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223G0001X |
License Number: | DN013323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |