Provider Demographics
NPI:1710004262
Name:JABS, STEVEN LARRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LARRY
Last Name:JABS
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 1:201 S MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:BELLE PLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:56011-1917
Mailing Address - Country:US
Mailing Address - Phone:952-873-6766
Mailing Address - Fax:952-873-5489
Practice Address - Street 1:201 S MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:BELLE PLAINE
Practice Address - State:MN
Practice Address - Zip Code:56011-1917
Practice Address - Country:US
Practice Address - Phone:952-873-6766
Practice Address - Fax:952-873-5489
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND93641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice