Provider Demographics
NPI:1174625669
Name:STEVER, GARY SAMUEL (DDS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:SAMUEL
Last Name:STEVER
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 1:560 HELLER RD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-2436
Mailing Address - Country:US
Mailing Address - Phone:215-538-1897
Mailing Address - Fax:
Practice Address - Street 1:106 S 5TH ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1640
Practice Address - Country:US
Practice Address - Phone:215-536-4108
Practice Address - Fax:215-536-3024
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-020685-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist