Provider Demographics
NPI:1487717583
Name:NEYER, STEVEN DANIEL (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DANIEL
Last Name:NEYER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 MAIN ST
Mailing Address - Street 2:SUITE P
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5238
Mailing Address - Country:US
Mailing Address - Phone:727-733-7848
Mailing Address - Fax:727-733-2753
Practice Address - Street 1:1022 MAIN ST
Practice Address - Street 2:SUITE P
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5238
Practice Address - Country:US
Practice Address - Phone:727-733-7848
Practice Address - Fax:727-733-2753
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN114921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice