Provider Demographics
NPI:1033310263
Name:BAXTER, STEVEN DABNEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DABNEY
Last Name:BAXTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 MULBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-4661
Mailing Address - Country:US
Mailing Address - Phone:407-341-3334
Mailing Address - Fax:
Practice Address - Street 1:704 MULBERRY AVE
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-4661
Practice Address - Country:US
Practice Address - Phone:407-341-3334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-87321223G0001X, 1223P0106X
FLDN140901223G0001X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Not Answered1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Not Answered1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery