Provider Demographics
NPI:1154946408
Name:THRAP, STEVEN CRAIG (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CRAIG
Last Name:THRAP
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 1:73 PALM GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:CAMDENTON
Mailing Address - State:MO
Mailing Address - Zip Code:65020-8905
Mailing Address - Country:US
Mailing Address - Phone:563-506-4711
Mailing Address - Fax:
Practice Address - Street 1:1497 N BUSINESS ROUTE 5
Practice Address - Street 2:
Practice Address - City:CAMDENTON
Practice Address - State:MO
Practice Address - Zip Code:65020-2636
Practice Address - Country:US
Practice Address - Phone:573-525-3080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020015883122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist