Provider Demographics
NPI:1265558597
Name:PATTERSON, STEVEN M (DDS, MSD, PC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:DDS, MSD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:415 N 26TH ST
Mailing Address - Street 2:SUITE #302
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47904-2895
Mailing Address - Country:US
Mailing Address - Phone:765-448-6831
Mailing Address - Fax:765-449-0239
Practice Address - Street 1:415 N 26TH ST
Practice Address - Street 2:SUITE #302
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47904-2895
Practice Address - Country:US
Practice Address - Phone:765-448-6831
Practice Address - Fax:765-449-0239
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12008016B1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics