Provider Demographics
NPI:1053453936
Name:MORAVEC, STEVEN J (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:MORAVEC
Suffix:
Gender:M
Credentials:DDS, MS
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Other - Credentials:
Mailing Address - Street 1:14831 W 159TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60491-9008
Mailing Address - Country:US
Mailing Address - Phone:630-324-5369
Mailing Address - Fax:815-744-7059
Practice Address - Street 1:23842 W. MAIN STREET (ROUTE126)
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544
Practice Address - Country:US
Practice Address - Phone:815-436-2959
Practice Address - Fax:815-436-0661
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190186951223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics