Provider Demographics
NPI:1659465086
Name:STEVEN F. MCIFF
Entity Type:Organization
Organization Name:STEVEN F. MCIFF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCIFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-785-0083
Mailing Address - Street 1:31 WEST 100 SOUTH
Mailing Address - Street 2:SUITE C
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-2641
Mailing Address - Country:US
Mailing Address - Phone:801-785-2063
Mailing Address - Fax:801-785-0084
Practice Address - Street 1:31 WEST 100 SOUTH
Practice Address - Street 2:SUITE C
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-2641
Practice Address - Country:US
Practice Address - Phone:801-785-2063
Practice Address - Fax:801-785-0084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT36604799221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty