DR. STEVEN L HARRISON (NPI# 1063558393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063558393 |
| Entity Type | Individual |
| Full Name | DR. STEVEN L HARRISON |
| Credential | DMD |
| Practice Address |
114 Park Plaza Dr Red Bud IL 62278-1084 |
| Practice Telephone | 6182826700 |
| Mailing Telephone | 6182826700 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250517 | Steven Keith Harrison Jr. | Counselor | 941 El Dorado Avenue, Santa Cruz, CA 95062 | 2007-05-03 |
| 1245309806 | Steven William Harrison | Family Medicine | 1441 Constitution, Salinas, CA 93906-3100 | 2006-11-07 |
| 1821023755 | Steven A. Harrison | Ophthalmology | 1299 Newell Hill Pl, Suite 103, Walnut Creek, CA 94596-5292 | 2006-07-11 |
| 1326018722 | Steven M Harrison | Chiropractor | 50 Village St, Pikeville, KY 41501-3266 | 2006-01-26 |
| 1023008760 | Steven James Harrison | Marriage & Family Therapist | 33 Quail Ct, Suite 300, Walnut Creek, CA 94596-5596 | 2005-10-25 |
| 1467068734 | Steven F Harrison | Pharmacist | 1298 Stafford Dr, Princeton, WV 24740-2466 | 2020-09-21 |
| 1376165514 | Steven Terrell Harrison | Social Worker | 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 | 2020-05-11 |
| 1477906733 | Steven Harrison | Community Health Worker | 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 | 2016-07-21 |
| 1073918215 | Steven Vance Harrison IIi | Physician Assistant | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2014-10-30 |
| 1124452479 | Steven Harrison | Student in an Organized Health Care Education/Training Program | 173 Chelsea St, Everett, MA 02149-4632 | 2013-08-22 |
| Street Address |
114 PARK PLAZA DR |
| City | RED BUD |
| State | IL |
| Zip Code | 62278-1084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477852028 | Margret De Jesus De Guzman | Surgery | Red Bud Illinois Hospital Comany LLC, 325 Spring St, Red Bud, IL 62278 | 2011-03-22 |
| 1952595878 | Clarkson Optometry Illinois PC | Optometrist | 210 S Main, Red Bud, IL 62278 | 2007-09-04 |
| 1679795157 | Human Service Center of Southern Metro East | Clinic/Center | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-03 |
| 1508980798 | Quentin Thomas Stenzel | Chiropractor | 204 W. Market, Red Bud, IL 62278 | 2007-03-16 |
| 1306905054 | Jennifer Ranee Dewilde | Chiropractor | 930 West Market, Suite 1, Red Bud, IL 62278 | 2006-12-08 |
| 1588147623 | Thomas Michael Castilaw | Nurse Practitioner | 325 Spring St, Red Bud, IL 62278 | 2018-09-14 |
| 1336353523 | Human Service Center | Private Vehicle | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-09 |
| 1093928111 | Human Service Center | Clinic/Center | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-07 |
| 1386856409 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62278 | 2007-05-03 |
| 1417960121 | Tina Renee Stulce | Dentist | 307 S Main St, Red Bud, IL 62278 | 2006-08-14 |
| Find all providers in zip 62278 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710055983 | Lori R Trost Dmd PC | Dentist | 210 S Main St, Red Bud, IL 62278-1106 | 2006-12-04 |
| 1417960121 | Tina Renee Stulce | Dentist | 307 S Main St, Red Bud, IL 62278 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.