Physician Compare National (NPI:1952386146)

HEALTHCARE PROVIDER: STEVEN VICTOR DRYDEN D.D.S.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952386146
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931474582
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171006001337
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DRYDEN
	Individual professional last name
Provider First Name	STEVEN
	Individual professional first name
Provider Middle Name	VICTOR
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HERMAN OSTROW SCHOOL OF DENTISTRY OF USC
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	MAXILLOFACIAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DENTIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DENTIST
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1470 MEDICAL PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 260
	Group Practice or individual's line 2 address
City	CARSON CITY
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	897034647
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y