Provider Demographics
NPI:1225486244
Name:HEMPHILL, STEVEN BLAKE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BLAKE
Last Name:HEMPHILL
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1050 S PRESTON RD STE 122
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-3815
Mailing Address - Country:US
Mailing Address - Phone:972-636-4175
Mailing Address - Fax:
Practice Address - Street 1:1050 S PRESTON RD STE 122
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-3815
Practice Address - Country:US
Practice Address - Phone:972-636-4175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX334711223X0400X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics