Provider Demographics
NPI:1225183684
Name:ENGLAND, STEVEN BRIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRIAN
Last Name:ENGLAND
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 1:6724 PERIMETER LOOP RD # 312
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3202
Mailing Address - Country:US
Mailing Address - Phone:614-565-7174
Mailing Address - Fax:614-276-1664
Practice Address - Street 1:699 HARRISBURG PIKE
Practice Address - Street 2:SUITE N-P
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-2141
Practice Address - Country:US
Practice Address - Phone:614-276-1661
Practice Address - Fax:164-276-1664
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300185761223G0001X
CA358111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0701422Medicaid