Provider Demographics
NPI:1386705598
Name:GREGG, STEVEN E (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:GREGG
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 1:508 W 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2731
Mailing Address - Country:US
Mailing Address - Phone:509-624-5208
Mailing Address - Fax:509-624-5209
Practice Address - Street 1:508 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2731
Practice Address - Country:US
Practice Address - Phone:509-624-5208
Practice Address - Fax:509-624-5209
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000066531223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics