Provider Demographics
NPI:1972203156
Name:STEVEN J PIERSON DDS LLC
Entity Type:Organization
Organization Name:STEVEN J PIERSON DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-719-3236
Mailing Address - Street 1:801 S MIAMI ST
Mailing Address - Street 2:
Mailing Address - City:WEST MILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45383-1305
Mailing Address - Country:US
Mailing Address - Phone:937-719-3236
Mailing Address - Fax:937-719-3236
Practice Address - Street 1:801 S MIAMI ST
Practice Address - Street 2:
Practice Address - City:WEST MILTON
Practice Address - State:OH
Practice Address - Zip Code:45383-1305
Practice Address - Country:US
Practice Address - Phone:937-719-3236
Practice Address - Fax:937-719-3236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty