Provider Demographics
NPI:1083227383
Name:HADAWAR, STEVEN (DMD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:HADAWAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 ALPER CENTER DR UNIT 15202
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-1545
Mailing Address - Country:US
Mailing Address - Phone:818-257-8895
Mailing Address - Fax:
Practice Address - Street 1:3519 SAINT ROSE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4598
Practice Address - Country:US
Practice Address - Phone:702-529-0321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7391122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty