Provider Demographics
NPI:1982705364
Name:DARLING, STEVEN THERON (DMD, FAGD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:THERON
Last Name:DARLING
Suffix:
Gender:M
Credentials:DMD, FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SE 120TH AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-4020
Mailing Address - Country:US
Mailing Address - Phone:360-256-3570
Mailing Address - Fax:
Practice Address - Street 1:300 SE 120TH AVE STE 400
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-4020
Practice Address - Country:US
Practice Address - Phone:360-256-3570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD66931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR931309846OtherTAX ID