Healthcare Provider Details

I. General information

NPI: 1689788226
Provider Name (Legal Business Name): STEVEN PATRICK DELGADO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FT POLK DENTAL HEALTH SERVICES 7223 MISSISSIPPI AVE.
FORT POLK LA
71459
US

IV. Provider business mailing address

FT POLK DENTAL HEALTH SERVICES 7223 MISSISSIPPI AVE.
FORT POLK LA
71459
US

V. Phone/Fax

Practice location:
  • Phone: 726-780-1451
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number13391
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: