Provider Demographics
NPI:1669486213
Name:DRIGGERS, STEVEN F (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:DRIGGERS
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 1:10100 E US HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7566
Mailing Address - Country:US
Mailing Address - Phone:317-271-1330
Mailing Address - Fax:317-271-1382
Practice Address - Street 1:10100 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7566
Practice Address - Country:US
Practice Address - Phone:317-271-1330
Practice Address - Fax:317-271-1382
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120086861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100228880AMedicaid