Provider Demographics
NPI:1073637336
Name:STEVEN BOE DMD & STEPHEN PAGE DMD, PA
Entity Type:Organization
Organization Name:STEVEN BOE DMD & STEPHEN PAGE DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:239-263-2122
Mailing Address - Street 1:4953 CASTELLO DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-8927
Mailing Address - Country:US
Mailing Address - Phone:239-263-2122
Mailing Address - Fax:239-262-3544
Practice Address - Street 1:4953 CASTELLO DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8927
Practice Address - Country:US
Practice Address - Phone:239-263-2122
Practice Address - Fax:239-262-3544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty