Provider Demographics
NPI:1912008798
Name:DUKE, STEVEN DALE (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DALE
Last Name:DUKE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 S 900 E
Mailing Address - Street 2:#350
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047
Mailing Address - Country:US
Mailing Address - Phone:801-255-7101
Mailing Address - Fax:801-568-1905
Practice Address - Street 1:7001 S 900 E
Practice Address - Street 2:#350
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047
Practice Address - Country:US
Practice Address - Phone:801-255-7101
Practice Address - Fax:801-568-1905
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2857331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice