Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508180118 Individual Practitioner Female Practitioner

Dr. Eugena Baziuk Stephan , DMD

Dentist - Prosthodontics • Bradford, PA

Professional Overview & Biography Verified Profile Summary

Dr. Eugena Stephan, DMD is a registered healthcare professional specializing in Dentist - Prosthodontics in Bradford, PA. Practice services are available at 600 CHESTNUT STREET EXT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Chestnut Street Ext

Bradford, PA 167015438

Telephone 8143628478

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Bradford, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Bradford, PA (151 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License NY 40838

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1032395030001 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dongwuk Cha

Dentist - General Practice

NPI 1184912750

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active May 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2017

Registered at 600 CHESTNUT STREET EXT, BRADFORD, PA 167015438 (Tel: 8143628478)

📍
Updated Business Mailing Address May 31, 2017

Registered at 600 CHESTNUT STREET EXT, BRADFORD, PA 167015438 (Tel: (814) 362-8478)

👤
Provider Name / Credentials Updated May 31, 2017

Recorded as EUGENA STEPHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2017

Dentist (License #40838 in NY)

NPI Profile Active March 25, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2010

Registered at 215 SQUIRE HALL, SCHOOL OF DENTAL MEDICINE - SUNYAB, BUFFALO, NY 14214 (Tel: 7168292862)

📍
Updated Business Mailing Address March 25, 2010

Registered at 215 SQUIRE HALL, SCHOOL OF DENTAL MEDICINE - SUNYAB, BUFFALO, NY 14214 (Tel: 7168292862)

👤
Provider Name / Credentials Updated March 25, 2010

Recorded as EUGENA STEPHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2010

Dentist (License #40838 in NY)

🟢
Initial NPI Registration & Enumeration March 25, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508180118
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2010
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

600 Chestnut Street Ext

Bradford, PA 167015438

Phone: 8143628478

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.