Provider Demographics
NPI:1194231969
Name:FARNSWORTH, STEVEN LEE (DDS, PHD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:LEE
Last Name:FARNSWORTH
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:LEE
Other - Last Name:FARNSWORTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, PHD
Mailing Address - Street 1:649 N ASHBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-6714
Mailing Address - Country:US
Mailing Address - Phone:210-449-4125
Mailing Address - Fax:
Practice Address - Street 1:15180 N COTTON LN STE 104
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-7000
Practice Address - Country:US
Practice Address - Phone:623-214-6543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-15
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1223D0004X1223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology