Provider Demographics
NPI:1013116227
Name:STEVEN M. HART, D.M.D., P.A.
Entity type:Organization
Organization Name:STEVEN M. HART, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:919-942-3859
Mailing Address - Street 1:1201 RALEIGH RD
Mailing Address - Street 2:SUITE 200, LENNOX BUILDING
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-4047
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1201 RALEIGH RD
Practice Address - Street 2:SUITE 200, LENNOX BUILDING
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-4047
Practice Address - Country:US
Practice Address - Phone:919-942-3859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4716122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty