Provider Demographics
NPI:1760689756
Name:LOY, STEVEN MONROE (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MONROE
Last Name:LOY
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 1:1155 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4431
Mailing Address - Country:US
Mailing Address - Phone:650-321-9867
Mailing Address - Fax:650-321-9587
Practice Address - Street 1:1155 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4431
Practice Address - Country:US
Practice Address - Phone:650-321-9867
Practice Address - Fax:650-321-9587
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA212681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice