Provider Demographics
NPI:1437320926
Name:SAXE, STEVEN ALLAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALLAN
Last Name:SAXE
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 1:1570 S RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-2956
Mailing Address - Country:US
Mailing Address - Phone:702-258-0085
Mailing Address - Fax:702-258-0585
Practice Address - Street 1:1570 S RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-2956
Practice Address - Country:US
Practice Address - Phone:702-258-0085
Practice Address - Fax:702-258-0585
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS2201223S0112X
NVS2-20204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU34275Medicare UPIN
NVDMD220Medicare PIN