Provider Demographics
NPI:1982773750
Name:PRICE, STEVEN PAUL (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:PAUL
Last Name:PRICE
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 1:103 E COLLEGE ST
Mailing Address - Street 2:#200
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4008
Mailing Address - Country:US
Mailing Address - Phone:319-338-8810
Mailing Address - Fax:319-338-4278
Practice Address - Street 1:103 E COLLEGE ST
Practice Address - Street 2:#200
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4008
Practice Address - Country:US
Practice Address - Phone:319-338-8810
Practice Address - Fax:319-338-4278
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06488122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0161034Medicaid