Provider Demographics
NPI:1619036027
Name:KNEPPER, STEVEN LEE (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:LEE
Last Name:KNEPPER
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 1:21301 S TAMIAMI TRL
Mailing Address - Street 2:#350
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-2942
Mailing Address - Country:US
Mailing Address - Phone:239-948-1990
Mailing Address - Fax:
Practice Address - Street 1:21301 S TAMIAMI TRL
Practice Address - Street 2:#350
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-2942
Practice Address - Country:US
Practice Address - Phone:239-948-1990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0011631122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist