Provider Demographics
NPI:1750303376
Name:KAIM, STEVEN HENRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HENRY
Last Name:KAIM
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 1:175 DWIGHT RD STE 205
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1761
Mailing Address - Country:US
Mailing Address - Phone:413-567-1905
Mailing Address - Fax:413-567-1903
Practice Address - Street 1:175 DWIGHT RD STE 205
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1761
Practice Address - Country:US
Practice Address - Phone:413-567-1905
Practice Address - Fax:413-567-1903
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA145451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX07019OtherBLUE CROSS AND BLUE SHIEL