Provider Demographics
NPI:1326197385
Name:MINER, STEVEN K (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:K
Last Name:MINER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 HALSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-5315
Mailing Address - Country:US
Mailing Address - Phone:228-424-0145
Mailing Address - Fax:
Practice Address - Street 1:106 HALSTEAD RD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-5315
Practice Address - Country:US
Practice Address - Phone:228-424-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2025-831223G0001X
ALD0006716C122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice