Provider Demographics
NPI:1841284569
Name:SATO, STEVE A (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:A
Last Name:SATO
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 1:1222 S PATTERSON BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-2643
Mailing Address - Country:US
Mailing Address - Phone:937-226-1400
Mailing Address - Fax:937-226-7494
Practice Address - Street 1:1222 S PATTERSON BLVD STE 140
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-2643
Practice Address - Country:US
Practice Address - Phone:937-226-1400
Practice Address - Fax:937-226-7494
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2021-10-25
Deactivation Date:2006-04-12
Deactivation Code:
Reactivation Date:2006-04-12
Provider Licenses
StateLicense IDTaxonomies
OH149841223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist