MEDICARE: STEVEN DENT DDS, MS

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	2016029614	MO
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN26836	FL

General Provider Information

NPI Number	:	1194265447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN DENT DDS, MS

Provider Business Mailing Address
First Line	:	1324 HIGHWAY A1A
Second Line	:
City	:	SATELLITE BEACH
State	:	FL
Zip	:	32937-2408
Country	:	US
Telephone Number	:	321-773-6666
Fax Number	:

Provider Business Practice Location Address
First Line	:	1324 HIGHWAY A1A
Second Line	:
City	:	SATELLITE BEACH
State	:	FL
Zip	:	32937-2408
Country	:	US
Telephone Number	:	321-773-6666
Fax Number	:

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

Provider Enumeration Date	:	03/06/2017
Last Update Date	:	03/28/2025

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