Provider Demographics
NPI:1750499745
Name:STEVEN ALBAN, D.D.S., P.A.
Entity Type:Organization
Organization Name:STEVEN ALBAN, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALBAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-422-9637
Mailing Address - Street 1:3 SUSSEX AVENUE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963
Mailing Address - Country:US
Mailing Address - Phone:302-422-9637
Mailing Address - Fax:302-422-4863
Practice Address - Street 1:3 SUSSEX AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963
Practice Address - Country:US
Practice Address - Phone:302-422-9637
Practice Address - Fax:302-422-4863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000038355Medicaid