Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 30-01-8732 | OH |
N | 213EG0000X | General Practice | 30-01-8732 | OH |
N | 1223G0001X | General Practice | DN14090 | FL |
N | 213EG0000X | General Practice | DN14090 | FL |
N | 1223P0106X | Oral and Maxillofacial Pathology | 30-01-8732 | OH |
N | 1223S0112X | Oral and Maxillofacial Surgeon | DN14090 | FL |
NPI | 1033310263 |
---|---|
Provider Name | Dr. Steven Dabney Baxter |
First Address | Celebration, FL 34747-4661 |
Second Address | Celebration, FL 34747-4661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2007 |
Last Update Date | 08/07/2007 |