Provider Demographics
NPI:1861531964
Name:CULP, STEVEN M
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:CULP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:M
Other - Last Name:CULP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1854 MINNESOTA AVE
Mailing Address - Street 2:ST. 3
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-4122
Mailing Address - Country:US
Mailing Address - Phone:913-371-1474
Mailing Address - Fax:913-371-1474
Practice Address - Street 1:1854 MINNESOTA AVE
Practice Address - Street 2:ST. 3
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-4122
Practice Address - Country:US
Practice Address - Phone:913-371-1474
Practice Address - Fax:913-371-1474
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO11040010OtherBLUE CROSS BLUESHIELD
KS27993OtherBLUE CROSS BLUE SHIELD OF