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NPI Code Detail

MEDICARE: STEVEN LESTER PAXTON D.D.S.

MEDICARE:   STEVEN LESTER PAXTON  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
11223G0001XGeneral Practice Dentistry135853-9921UT

General Provider Information

NPI Number : 1134233364
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN LESTER PAXTON D.D.S.
Provider Business Mailing Address
First Line : 2852 W 4700 S
Second Line : SUITE B
City : WEST VALLEY CITY
State : UT
Zip : 84118-2100
Country : US
Telephone Number : 801-969-3752
Fax Number :
Provider Business Practice Location Address
First Line : 2852 W 4700 S
Second Line : SUITE B
City : WEST VALLEY CITY
State : UT
Zip : 84118-2100
Country : US
Telephone Number : 801-969-3752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/08/2007

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Directions to “ STEVEN LESTER PAXTON D.D.S.” Practice Location

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