Provider Demographics
NPI:1396842456
Name:PASCOE, STEVEN B (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:B
Last Name:PASCOE
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:PO BOX 1449
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72033-1449
Mailing Address - Country:US
Mailing Address - Phone:501-327-6529
Mailing Address - Fax:501-327-8695
Practice Address - Street 1:95 BEAVERFORK RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-9517
Practice Address - Country:US
Practice Address - Phone:501-327-6529
Practice Address - Fax:501-327-8695
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR30021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice