MEDICARE: DR. STEVEN NORMAN LIND DMD

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	1223G0001X	General Practice Dentistry	4955	OR

General Provider Information

NPI Number	:	1437395928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN NORMAN LIND DMD

Provider Business Mailing Address
First Line	:	205 CHEMEKETA ST NE STE 170
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-3449
Country	:	US
Telephone Number	:	503-566-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 CHEMEKETA ST NE STE 170
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-3449
Country	:	US
Telephone Number	:	503-566-7000
Fax Number	:

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

Provider Enumeration Date	:	01/05/2009
Last Update Date	:	03/15/2012

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