Provider Demographics
NPI:1689788226
Name:DELGADO, STEVEN PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PATRICK
Last Name:DELGADO
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 1:730 OLD LIBERTY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-8502
Mailing Address - Country:US
Mailing Address - Phone:410-549-9760
Mailing Address - Fax:410-549-9761
Practice Address - Street 1:730 OLD LIBERTY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-8502
Practice Address - Country:US
Practice Address - Phone:410-549-9760
Practice Address - Fax:410-549-9761
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133911223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics