Dr. Steven Light
Dentist - General Practice
500 N Broadway Ave
Salem
, Illinois 62881-1516
Dr. Steven Light
Dentist - General Practice
500 N Broadway Ave
Salem
, Illinois 62881-1516
(618) 548-1226
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Steven Light
- 325 N Indiana Ave
- Salem, IL
- Zip : 62881-1340
- Phone : (618) 548-1226
Second Address
- Dr. Steven Light
- 500 N Broadway Ave
- Salem, IL
- Zip : 62881-1516
- Fax : (618) 548-1135
- Phone : (618) 548-0774
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | IL | |
| Y | 213EG0000X | General Practice | IL |
National Provider Identifier
| NPI | 1003037573 |
|---|---|
| Provider Name | Dr. Steven Light |
| First Address | Salem, IL 62881-1340 |
| Second Address | Salem, IL 62881-1516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.