Provider Demographics
NPI:1639106669
Name:DENNIS, STEVEN CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CHARLES
Last Name:DENNIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1501 WESTCLIFF DRIVE
Mailing Address - Street 2:SUITE 325
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660
Mailing Address - Country:US
Mailing Address - Phone:949-546-7500
Mailing Address - Fax:949-644-9330
Practice Address - Street 1:1501 WESTCLIFF DRIVE
Practice Address - Street 2:SUITE 325
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-722-7038
Practice Address - Fax:949-630-4900
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2024-04-30
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Provider Licenses
StateLicense IDTaxonomies
CAG58685207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGU314ZMedicare UPIN
CAE07495Medicare UPIN