Provider Demographics
NPI:1437395928
Name:LIND, STEVEN NORMAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:NORMAN
Last Name:LIND
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 1:205 CHEMEKETA ST NE STE 170
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3449
Mailing Address - Country:US
Mailing Address - Phone:503-566-7000
Mailing Address - Fax:
Practice Address - Street 1:205 CHEMEKETA ST NE STE 170
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3449
Practice Address - Country:US
Practice Address - Phone:503-566-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR49551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice