Provider Demographics
NPI:1831249309
Name:AUSTIN, STEVEN M (DDS, PA)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:AUSTIN
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S. LAUREL STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-3654
Mailing Address - Country:US
Mailing Address - Phone:704-735-1606
Mailing Address - Fax:704-732-8772
Practice Address - Street 1:701 S. LAUREL STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-3654
Practice Address - Country:US
Practice Address - Phone:704-735-1606
Practice Address - Fax:704-732-8772
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC63121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics