Provider Demographics
NPI:1558459214
Name:WHITE, STEVEN MARTIN (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MARTIN
Last Name:WHITE
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 1:4835 CORDELL AVE
Mailing Address - Street 2:#1407
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-652-0088
Mailing Address - Fax:
Practice Address - Street 1:10760 HICKORY RIDGE RD
Practice Address - Street 2:#206
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-730-6343
Practice Address - Fax:410-992-5878
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD42321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice