Provider Demographics
NPI:1073672028
Name:POSNICK, STEVEN MARK (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARK
Last Name:POSNICK
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 1:3400 DAKOTA AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2312
Mailing Address - Country:US
Mailing Address - Phone:952-929-0459
Mailing Address - Fax:952-929-3589
Practice Address - Street 1:3400 DAKOTA AVENUE SOUTH
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2312
Practice Address - Country:US
Practice Address - Phone:952-929-0459
Practice Address - Fax:952-929-3589
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND8224122300000X
MN5K743122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist