Provider Demographics
NPI:1871660282
Name:MEANS, STEVEN BAXTER (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:BAXTER
Last Name:MEANS
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 1:322 DENTAL SCIENCE BLDG S
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1001
Mailing Address - Country:US
Mailing Address - Phone:319-335-7440
Mailing Address - Fax:319-335-7451
Practice Address - Street 1:2221 UNIVERSITY AVE SE
Practice Address - Street 2:SUITE 119
Practice Address - City:MPLS
Practice Address - State:MN
Practice Address - Zip Code:55414
Practice Address - Country:US
Practice Address - Phone:612-378-1909
Practice Address - Fax:612-378-1909
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8508122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN533018100OtherMEDICAL ASSISTANCE