Provider Demographics
NPI:1689752628
Name:SCURNICK, STEVEN A (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:SCURNICK
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 1:11225 DOVEDALE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARRIOTTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21104
Mailing Address - Country:US
Mailing Address - Phone:410-442-1173
Mailing Address - Fax:410-442-1175
Practice Address - Street 1:11225 DOVEDALE DRIVE
Practice Address - Street 2:
Practice Address - City:MARRIOTTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21104
Practice Address - Country:US
Practice Address - Phone:410-442-1173
Practice Address - Fax:410-442-1175
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10117122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist