Provider Demographics
NPI:1477628196
Name:TROUTMAN, STEVEN EDDIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EDDIE
Last Name:TROUTMAN
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 1:1200 S FIFTH ST
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9706
Mailing Address - Country:US
Mailing Address - Phone:919-563-5939
Mailing Address - Fax:919-563-6676
Practice Address - Street 1:1200 S FIFTH ST
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-9706
Practice Address - Country:US
Practice Address - Phone:919-563-5938
Practice Address - Fax:919-563-6676
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3836122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist