Provider Demographics
NPI:1831299072
Name:HAUG, STEVEN PHILLIP (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PHILLIP
Last Name:HAUG
Suffix:
Gender:M
Credentials:DDS, MSD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 N TOWN CENTER RD
Mailing Address - Street 2:STE A
Mailing Address - City:MOORESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46158-2322
Mailing Address - Country:US
Mailing Address - Phone:317-274-5571
Mailing Address - Fax:317-278-2818
Practice Address - Street 1:100 N TOWN CENTER RD
Practice Address - Street 2:STE A
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-2322
Practice Address - Country:US
Practice Address - Phone:317-274-5571
Practice Address - Fax:317-278-2818
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120090751223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics