Provider Demographics
NPI:1366458226
Name:DICKEY, STEVEN BRIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRIAN
Last Name:DICKEY
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 1:198 REGAL OAK CT
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-4561
Mailing Address - Country:US
Mailing Address - Phone:805-498-9113
Mailing Address - Fax:
Practice Address - Street 1:93 ERBES RD STE A
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-5809
Practice Address - Country:US
Practice Address - Phone:805-495-0468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA344801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice