Provider Demographics
NPI:1841207644
Name:UNGER, STEVEN HERBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HERBERT
Last Name:UNGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:HERBERT
Other - Last Name:UNGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS PC
Mailing Address - Street 1:253 SOUTHBOUND GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-2425
Mailing Address - Country:US
Mailing Address - Phone:586-468-0983
Mailing Address - Fax:586-468-9661
Practice Address - Street 1:253 SOUTHBOUND GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043-2425
Practice Address - Country:US
Practice Address - Phone:586-468-0983
Practice Address - Fax:586-468-9661
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901015543122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist