Provider Demographics
NPI:1033369574
Name:LAN, STEVE JUH (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:JUH
Last Name:LAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:22425 BELLE TERRA DR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-7160
Mailing Address - Country:US
Mailing Address - Phone:703-771-0007
Mailing Address - Fax:703-771-6088
Practice Address - Street 1:1503 DODONA TER STE 200
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-4718
Practice Address - Country:US
Practice Address - Phone:703-771-0007
Practice Address - Fax:703-771-6088
Is Sole Proprietor?:No
Enumeration Date:2008-09-20
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04014123881223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA035518600Medicaid