Provider Demographics
NPI:1932192648
Name:PUMA, STEVEN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:PUMA
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 1:373 FORD AVE
Mailing Address - Street 2:
Mailing Address - City:FORDS
Mailing Address - State:NJ
Mailing Address - Zip Code:08863-1232
Mailing Address - Country:US
Mailing Address - Phone:732-549-3114
Mailing Address - Fax:732-549-3115
Practice Address - Street 1:373 FORD AVE
Practice Address - Street 2:
Practice Address - City:FORDS
Practice Address - State:NJ
Practice Address - Zip Code:08863-1232
Practice Address - Country:US
Practice Address - Phone:732-549-3114
Practice Address - Fax:732-549-3115
Is Sole Proprietor?:No
Enumeration Date:2005-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI142011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice