Provider Demographics
NPI:1316385677
Name:CUDNEY, STEVEN MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:CUDNEY
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 1:3585 WENDLETON LN
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2753
Mailing Address - Country:US
Mailing Address - Phone:937-426-8083
Mailing Address - Fax:937-426-2818
Practice Address - Street 1:3585 WENDLETON LN
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2753
Practice Address - Country:US
Practice Address - Phone:937-426-8083
Practice Address - Fax:937-426-2818
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH32961223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery