Provider Demographics
NPI:1952494734
Name:DIGHTON, STEVEN CHASE (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:CHASE
Last Name:DIGHTON
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 1:4655 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-3601
Mailing Address - Country:US
Mailing Address - Phone:913-287-7977
Mailing Address - Fax:913-287-5022
Practice Address - Street 1:4655 STATE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-3601
Practice Address - Country:US
Practice Address - Phone:913-287-7977
Practice Address - Fax:913-287-5022
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD28001223G0001X
TX235531223G0001X
KS604651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200626970AMedicaid
KS2135502OtherUNITED CONCORDIA
KS200626970CMedicaid
KS200626970BMedicaid