Provider Demographics
NPI:1912270786
Name:SAVAGE, STEVEN EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EDWARD
Last Name:SAVAGE
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 1:5688 W 7800 S STE 104
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84081-5404
Mailing Address - Country:US
Mailing Address - Phone:801-254-4454
Mailing Address - Fax:801-757-6116
Practice Address - Street 1:5688 W 7800 S STE 104
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84081-5404
Practice Address - Country:US
Practice Address - Phone:801-254-4454
Practice Address - Fax:801-757-6116
Is Sole Proprietor?:No
Enumeration Date:2012-02-09
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO107601223G0001X
UT12227007-99241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
1912270786OtherMILITARY DENTAL CLINIC