Basic Information
Provider Information
NPI: 1669547378
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: STEVEN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 284 BRIARWOOD PL
Address2:  
City: SANFORD
State: NC
PostalCode: 273322382
CountryCode: US
TelephoneNumber: 9194980267
FaxNumber:  
Practice Location
Address1: ARDENNES RD BLDG C-6238
Address2: LAFLAMME DC
City: FORT BRAGG
State: NC
PostalCode: 283100001
CountryCode: US
TelephoneNumber: 9109078282
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/21/2006
LastUpdateDate: 05/21/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X17066MAY Dental ProvidersDentist 

No ID Information.


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