Provider Demographics
NPI:1548373988
Name:COMBS, STEVEN LANE (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LANE
Last Name:COMBS
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 1:9205 E 159TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-8676
Mailing Address - Country:US
Mailing Address - Phone:720-836-1127
Mailing Address - Fax:720-836-3322
Practice Address - Street 1:1300 S POTOMAC ST STE 122
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4526
Practice Address - Country:US
Practice Address - Phone:720-836-1127
Practice Address - Fax:720-836-3322
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6022122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist