Provider Demographics
NPI:1689849572
Name:FOX, STEVEN R (DDS FICD FACD PC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:FOX
Suffix:
Gender:M
Credentials:DDS FICD FACD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 MADISON AVENUE
Mailing Address - Street 2:SUITE 1520
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-953-1544
Mailing Address - Fax:212-953-7049
Practice Address - Street 1:317 MADISON AVENUE
Practice Address - Street 2:SUITE 1520
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-953-1544
Practice Address - Fax:212-953-7049
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33675122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist