Provider Demographics
NPI:1134233364
Name:PAXTON, STEVEN LESTER (DDS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:LESTER
Last Name:PAXTON
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 1:2852 W 4700 S
Mailing Address - Street 2:SUITE B
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84118-2100
Mailing Address - Country:US
Mailing Address - Phone:801-969-3752
Mailing Address - Fax:
Practice Address - Street 1:2852 W 4700 S
Practice Address - Street 2:SUITE B
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84118-2100
Practice Address - Country:US
Practice Address - Phone:801-969-3752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT135853-99211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice