=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447360649
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEVEN GUTHRIE DARLING D.M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2006
-----------------------------------------------------
Last Update Date | 10/17/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8190 JOG RD STE 200
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33472-2911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-737-1980
-----------------------------------------------------
Fax | 561-737-5350
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8190 JOG RD STE 200
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33472-2911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-737-1980
-----------------------------------------------------
Fax | 561-737-5350
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223X0400X
-----------------------------------------------------
Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
License Number | DN13534
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------