MEDICARE: STEVEN LAWRENCE UNDERWOOD DDS

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	12008044A	IN

General Provider Information

NPI Number	:	1750423026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN LAWRENCE UNDERWOOD DDS

Provider Business Mailing Address
First Line	:	107 THREE RIVERS EAST
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46802-1311
Country	:	US
Telephone Number	:	260-426-4438
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 THREE RIVERS EAST
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46802-1311
Country	:	US
Telephone Number	:	260-426-4438
Fax Number	:

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346968435 — VICTORIA PUZO
Practice Location Address:

331 PRUSSIAN LN
WAYNE, PA
19087-1311

Practice Phone: 610-312-4948
Practice Fax:

1679559850 — LEISHA CALLAN OTR
Practice Location Address:

1311 FORT ST , SUITE L
BARLING, AR
72923-2045

Practice Phone: 479-965-5086
Practice Fax: 877-694-8824

1871533281 — SARAH TRAVIS RD
Practice Location Address:

1311 S I ST
FORT SMITH, AR
72901-4915

Practice Phone: 479-441-4000
Practice Fax: 479-441-4829

1619992633 — ALL-MED HOME CARE INC.
Practice Location Address:

1311 FORT STREET , STE O
BARLING, AR
72923

Practice Phone: 479-484-8282
Practice Fax:

1407928633 — FIRM FOUNDATION, INC.
Practice Location Address:

1311 FORT BRAGG RD
FAYETTEVILLE, NC
28305-4705

Practice Phone: 910-485-3332
Practice Fax: 910-485-1453

1831240696 — JACK NORDEN M.D.
Practice Location Address:

1311 SW 4TH CT
FORT LAUDERDALE, FL
33312-7521

Practice Phone: 954-401-6426
Practice Fax:

Directions to “ STEVEN LAWRENCE UNDERWOOD DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.