Provider Demographics
NPI:1326125642
Name:LUBBE, STEVEN R (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:LUBBE
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Gender:M
Credentials:DMD
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Mailing Address - Street 1:13841 HULL STREET RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2056
Mailing Address - Country:US
Mailing Address - Phone:804-739-0963
Mailing Address - Fax:804-739-0965
Practice Address - Street 1:13841 HULL STREET RD
Practice Address - Street 2:SUITE 4
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2056
Practice Address - Country:US
Practice Address - Phone:804-739-0963
Practice Address - Fax:804-739-0965
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2011-02-03
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Provider Licenses
StateLicense IDTaxonomies
VA04014102401223P0221X
VA0401410241223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry