Provider Demographics
NPI:1144334335
Name:LATIMER, STEVEN S (DDS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:S
Last Name:LATIMER
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 1:2829 CHARLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-1913
Mailing Address - Country:US
Mailing Address - Phone:812-944-7540
Mailing Address - Fax:812-944-1459
Practice Address - Street 1:2829 CHARLESTOWN RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-1913
Practice Address - Country:US
Practice Address - Phone:812-944-7540
Practice Address - Fax:812-944-1459
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007627A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice