Provider Demographics
NPI:1013418185
Name:HALEPAS, STEVEN G JR (MD, DMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:G
Last Name:HALEPAS
Suffix:JR
Gender:M
Credentials:MD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13706 SW 56TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6029
Mailing Address - Country:US
Mailing Address - Phone:305-762-9746
Mailing Address - Fax:831-244-9069
Practice Address - Street 1:13706 SW 56TH ST STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6029
Practice Address - Country:US
Practice Address - Phone:305-762-9746
Practice Address - Fax:831-244-9069
Is Sole Proprietor?:No
Enumeration Date:2018-02-23
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ02734000122300000X
CT12639122300000X
FL293671223S0112X
NY318937208600000X
FL166526208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No122300000XDental ProvidersDentist
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery