MEDICARE: DR. STEVEN HUTT D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DEN00202817	CO

General Provider Information

NPI Number	:	1003267261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN HUTT D.D.S.

Provider Business Mailing Address
First Line	:	905 W 124TH AVE STE 130
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-1718
Country	:	US
Telephone Number	:	303-920-4900
Fax Number	:	303-920-4823

Provider Business Practice Location Address
First Line	:	905 W 124TH AVE STE 130
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-1718
Country	:	US
Telephone Number	:	303-920-4900
Fax Number	:	303-920-4823

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	07/08/2016

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