Provider Demographics
NPI:1952321788
Name:SOBER, STEVEN (DMD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:SOBER
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 1:13330 W COLONIAL DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-3915
Mailing Address - Country:US
Mailing Address - Phone:407-877-6666
Mailing Address - Fax:407-877-6666
Practice Address - Street 1:13330 W COLONIAL DR
Practice Address - Street 2:SUITE 120
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3915
Practice Address - Country:US
Practice Address - Phone:407-877-6666
Practice Address - Fax:407-877-6666
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 101651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice