Provider Demographics
NPI:1710106448
Name:ASPROS, STEVEN DAMON (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DAMON
Last Name:ASPROS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2570 BARRINGTON CIR
Mailing Address - Street 2:#2
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-3898
Mailing Address - Country:US
Mailing Address - Phone:850-878-4117
Mailing Address - Fax:850-878-6748
Practice Address - Street 1:2570 BARRINGTON CIR
Practice Address - Street 2:#2
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-3898
Practice Address - Country:US
Practice Address - Phone:850-878-4117
Practice Address - Fax:850-878-6748
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN84641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice