Provider Demographics
NPI:1790048247
Name:HUTCHENS, STEVEN JASON (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JASON
Last Name:HUTCHENS
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 1:372 MIDDLEWAY PIKE
Mailing Address - Street 2:SUITE A
Mailing Address - City:INWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:25428
Mailing Address - Country:US
Mailing Address - Phone:304-229-5851
Mailing Address - Fax:304-229-0666
Practice Address - Street 1:372 MIDDLEWAY PIKE
Practice Address - Street 2:SUITE A
Practice Address - City:INWOOD
Practice Address - State:WV
Practice Address - Zip Code:25428-3909
Practice Address - Country:US
Practice Address - Phone:304-229-5851
Practice Address - Fax:304-229-0666
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3992122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist